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VICTORY NP IN PSYCHIATRY, PC
NPI 1093178428
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since April 02, 2016
2962 WICKHAM AVE, BRONX, NY 10469(646) 384-0252 Get Directions Write a Review

NPPES record last updated: April 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victory Np In Psychiatry, Pc NPPES

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

VICTORY NP IN PSYCHIATRY, PC (NPI 1093178428) is a healthcare organization registered as a psychiatric/mental health in Bronx, New York and active in the NPI registry since April 2016. The organization lists Godwin Mcmukoro Okpomo, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1093178428
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVICTORY NP IN PSYCHIATRY, PC
Location Address2962 WICKHAM AVEBronx, NY 10469-3324
Mailing Address2962 Wickham AveBronx, NY 10469-3324 · (646) 384-0252
Phone(646) 384-0252
Organization SubpartYesParent: N/a
Authorized OfficialGodwin Mcmukoro OkpomoClinical Director · (646) 384-0252
Enumeration DateApril 2, 2016
✔ NPI 1093178428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401152
2962 WICKHAM AVE, Bronx, NY 10469
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Other Identifiers 1

Other1043696750NY · Npi Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. GODWIN OKPOMO SR. NP
Nurse Practitioner (Psychiatric/Mental Health)
2962 WICKHAM AVE
BRONX, NY 10469
Bronx County (646) 384-0252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Np In Psychiatry, PC's NPI number?

The NPI number for Victory Np In Psychiatry, PC is 1093178428. It was assigned to this organization in the NPPES registry on April 2, 2016.

Where is Victory Np In Psychiatry, PC located?

Victory Np In Psychiatry, PC is located at 2962 Wickham Ave, Bronx, NY 10469. The listed phone number is (646) 384-0252.

What is Victory Np In Psychiatry, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Victory Np In Psychiatry, PC was last updated on April 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.