RONALD OTWORI NP IN PSYCHIATRY PLLC
NPI 1053150219
Nurse Practitioner - Psychiatric/Mental Health in Clifton Park, NY

Active since May 20, 2024
258 USHERS RD STE 203, CLIFTON PARK, NY 12065(518) 577-3640(518) 776-1050 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ronald Otwori Np In Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD OTWORI NP IN PSYCHIATRY PLLC (NPI 1053150219), doing business as The Summit, is a healthcare organization registered as a psychiatric/mental health in Clifton Park, New York and active in the NPI registry since May 2024. The organization lists Ronald Otwori, Owner, as its authorized official.

NPPES Registry Identity

NPI1053150219
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRONALD OTWORI NP IN PSYCHIATRY PLLC
Location Address258 USHERS RD STE 203Clifton Park, NY 12065-1428
Mailing Address11 Landmark StLatham, NY 12110-2005 · (518) 577-3640 · Fax (518) 776-1050
Fax(518) 776-1050
Organization SubpartNo
Authorized OfficialRonald OtworiOwner · (518) 577-3640
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1053150219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
258 USHERS RD STE 203, Clifton Park, NY 12065

Other Names 1

Doing Business AsThe Summit

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
258 USHERS RD STE 203
CLIFTON PARK, NY 12065
Nurse Practitioner (Psychiatric/Mental Health)
258 USHERS RD STE 203
CLIFTON PARK, NY 12065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053150219, enumerated as an "organization" on May 20, 2024.

The provider is located at 258 USHERS RD STE 203 CLIFTON PARK, NY 12065 and the phone number is (518) 577-3640.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.