LIGHT SPACE MENTAL HEALTH COUNSELING AND NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1467149856
Nurse Practitioner - Psychiatric/Mental Health in Albany, NY

Q: What is Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC's specialty?

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

Active since April 18, 2023

418 BROADWAY STE 4279, ALBANY, NY 12207(937) 756-6697 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 15, 2025, Jun 24, 2025 (2 updates tracked since 2025).

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About Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry Pllc NPPES

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

LIGHT SPACE MENTAL HEALTH COUNSELING AND NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1467149856) is a healthcare organization registered as a psychiatric/mental health in Albany, New York and active in the NPI registry since April 2023. The organization maintains a secondary practice location in New York and lists Joey Bukai, Owner, as its authorized official.

NPPES Registry Identity

NPI1467149856

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLIGHT SPACE MENTAL HEALTH COUNSELING AND NURSE PRACTITIONER IN PSYCHIATRY PLLC

Location Address418 BROADWAY STE 4279Albany, NY 12207-2922

Mailing Address418 Broadway Ste 4279Albany, NY 12207-2922 · (937) 756-6697

Phone(937) 756-6697

Organization SubpartNo

Authorized OfficialJoey BukaiOwner · (937) 756-6697

Enumeration DateApril 18, 2023

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1467149856 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

418 BROADWAY STE 4279, Albany, NY 12207

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Secondary Practice Location 1

Location 1302 5th Ave Ste 1103New York, NY 10001-3604 · Phone (937) 756-6697

Other Identifiers 2

Other407127NY · Ny Pmhnp State License

Medicaid1699309302NY

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

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 Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC is 1467149856. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC located?

Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC is located at 418 Broadway Ste 4279, Albany, NY 12207. The listed phone number is (937) 756-6697.

What is Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC'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 Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.