Healthcare Provider Details
I. General information
NPI: 1316469232
Provider Name (Legal Business Name): NP PSYCHIATRY & GERIATRIC CARE CONSULTANTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1614 MICHAEL DR
PITTSBURGH PA
15227-3959
US
IV. Provider business mailing address
1614 MICHAEL DR
PITTSBURGH PA
15227-3959
US
V. Phone/Fax
- Phone: 202-365-5466
- Fax: 866-536-4305
- Phone: 202-365-5466
- Fax: 866-536-4305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084B0040X |
| Taxonomy | Behavioral Neurology & Neuropsychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | SP012899 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | SP012899 |
| License Number State | PA |
VIII. Authorized Official
Name:
MICHAEL
A.
OKOYE
Title or Position: FOUNDER & PRESIDENT
Credential: PHD, CRNP, PMHNP-BC
Phone: 202-365-5466