Provider Demographics
NPI:1063179208
Name:AKA-CHI PSYCHIATRY NP PLLC
Entity type:Organization
Organization Name:AKA-CHI PSYCHIATRY NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:NEBECHI
Authorized Official - Last Name:NNAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCH NP
Authorized Official - Phone:646-643-6665
Mailing Address - Street 1:3006 GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3229
Mailing Address - Country:US
Mailing Address - Phone:646-643-6665
Mailing Address - Fax:
Practice Address - Street 1:3006 GRACE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3229
Practice Address - Country:US
Practice Address - Phone:646-643-6665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0813XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, GeropsychiatricGroup - Single Specialty