| Southend Psychiatry | |
|
2722 Hering Ave Bronx NY 10469-5321 | |
| (917) 557-6064 | |
| Not Available |
| Full Name | Southend Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2722 Hering Ave, Bronx, New York |
| Authorized Official Name and Position | Reagan Anusionwu (CEO) |
| Authorized Official Contact | 9175576064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southend Psychiatry 2722 Hering Ave Bronx NY 10469-5321 Ph: (917) 557-6064 | Southend Psychiatry 2722 Hering Ave Bronx NY 10469-5321 Ph: (917) 557-6064 |
| NPI Number | 1023626678 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Medicare PECOS PAC ID | 4880093905 |
|---|---|
| Medicare Enrollment ID | O20210521002361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023626678 | NPI | - | NPPES |
| Provider Name | Kingsley Nwokeji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578645255 PECOS PAC ID: 6305928326 Enrollment ID: I20080130000337 |
| Provider Name | Justina Momah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336372309 PECOS PAC ID: 0446490635 Enrollment ID: I20130711000604 |
| Provider Name | Reagan O Anusionwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346492105 PECOS PAC ID: 7012145055 Enrollment ID: I20140121000031 |
| Provider Name | Talia Spruill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043767379 PECOS PAC ID: 7911286745 Enrollment ID: I20161117001888 |
| Provider Name | Vivette Fletcher-harriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710335369 PECOS PAC ID: 1153604228 Enrollment ID: I20170215002191 |
| Provider Name | Bryan J Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784647 PECOS PAC ID: 7517230006 Enrollment ID: I20170905002470 |
| Provider Name | Lauren T Giwa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427477330 PECOS PAC ID: 6204186505 Enrollment ID: I20180907000559 |
| Provider Name | Boris Fligelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538554316 PECOS PAC ID: 3678810371 Enrollment ID: I20190807002645 |
| Provider Name | Hetal Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073908216 PECOS PAC ID: 0446595813 Enrollment ID: I20200601000459 |
| Provider Name | Nnachi Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649838996 PECOS PAC ID: 0547684797 Enrollment ID: I20200721001428 |
| Provider Name | Rukiska Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437770989 PECOS PAC ID: 0941614531 Enrollment ID: I20210121002222 |
| Provider Name | Aneela Naz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528671930 PECOS PAC ID: 4789091794 Enrollment ID: I20210318000492 |
| Provider Name | Chika C Ndukwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164972584 PECOS PAC ID: 0345633889 Enrollment ID: I20220207000706 |
| Provider Name | Etido James Udosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200208 PECOS PAC ID: 8820497688 Enrollment ID: I20220706000632 |
| Provider Name | Emma Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441876 PECOS PAC ID: 9436538188 Enrollment ID: I20230913002673 |
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