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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUDRACY GENIA MASSAKIDI MBOUSSI
NPI 1700745999
Nurse Practitioner - Psychiatric/Mental Health in Binghamton, NY

Active since January 21, 2026
1182 CHENANGO ST, BINGHAMTON, NY 13901(607) 296-3072 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Mar 23, 2026, Jan 21, 2026 (3 updates tracked since 2026).

About Audracy Genia Massakidi Mboussi NPPES

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

AUDRACY GENIA MASSAKIDI MBOUSSI (NPI 1700745999) is an individual psychiatric/mental health provider in Binghamton, New York, licensed in New York (F407919) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1700745999
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAUDRACY GENIA MASSAKIDI MBOUSSI
Location Address1182 CHENANGO STBinghamton, NY 13901-1653
Mailing Address1182 Chenango StBinghamton, NY 13901-1653
Phone(607) 296-3072
Sole ProprietorYes
Enumeration DateJanuary 21, 2026
Last NPPES UpdateJune 26, 20263 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1700745999 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 · F407919
1182 CHENANGO ST, Binghamton, NY 13901
Open in Google Maps ↗

Other Identifiers 1

Medicaid02997780NY

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 20

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

MEGAN SELLERS LMSW
Social Worker
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904
LUKAS W WHITE LMSW
Social Worker
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904
KATY SHEFLER LMSW
Social Worker
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904
PHILLIP A GINTER LMSW
Social Worker
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904
DR. MICHAEL SALEEBY PSY.D.
Psychologist (Clinical)
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904
MARISSA PARSONS LMSW
Social Worker
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904
BRITTANY HAWKINS LMSW
Social Worker
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904
DAVID JOHN MARTINKOVIC LMSW
Social Worker
1182 CHENANGO ST
BINGHAMTON, NY 13901
Broome County (607) 772-6904

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 Audracy Genia Massakidi Mboussi's NPI number?

The NPI number for Audracy Genia Massakidi Mboussi is 1700745999. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Audracy Genia Massakidi Mboussi located?

Audracy Genia Massakidi Mboussi practices at 1182 Chenango St, Binghamton, NY 13901. The listed phone number is (607) 296-3072.

What is Audracy Genia Massakidi Mboussi'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 Audracy Genia Massakidi Mboussi was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.