URBAN LIGHT PSYCHIATRIC NP PLLC
NPI 1750987566
Nurse Practitioner - Psychiatric/Mental Health in White Plains, NY

Q: What is Urban Light Psychiatric Np PLLC's NPI number?

The NPI number for Urban Light Psychiatric Np PLLC is 1750987566. It was assigned to this organization in the NPPES registry on December 7, 2020.

Q: What is Urban Light Psychiatric Np PLLC's specialty?

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

Active since December 07, 2020

180 S BROADWAY STE 406, WHITE PLAINS, NY 10605(347) 543-4726(914) 222-8921 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Dec 23, 2020, Dec 7, 2020 (3 updates tracked since 2020).

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About Urban Light Psychiatric Np Pllc NPPES

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

URBAN LIGHT PSYCHIATRIC NP PLLC (NPI 1750987566) is a healthcare organization registered as a psychiatric/mental health in White Plains, New York and active in the NPI registry since December 2020. The organization lists Edward K Afful, Manager, as its authorized official.

NPPES Registry Identity

NPI1750987566

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameURBAN LIGHT PSYCHIATRIC NP PLLC

Location Address180 S BROADWAY STE 406White Plains, NY 10605-1820

Mailing Address180 S Broadway Ste 406White Plains, NY 10605-1820 · (347) 543-4726 · Fax (914) 222-8921

Phone(347) 543-4726

Fax(914) 222-8921

Organization SubpartNo

Authorized OfficialEdward K AffulManager · (347) 543-4726

Enumeration DateDecember 7, 2020

Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1750987566 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

180 S BROADWAY STE 406, White Plains, NY 10605

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Other Identifiers 1

Medicaid05993242NY

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urban Light Psychiatric Np Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Urban Light Psychiatric Np PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Anita Agyekum, DNP, PMHNP-BC

Nurse Practitioner

NPI 1073380788

2 FORDHAM HILL OVAL APT 17B
Bronx, NY 10468

(646) 345-2547

✔ PECOS13 mi

Ahmed Bashiru, PMHNP-BC

Nurse Practitioner

NPI 1073370672

1276 FULTON AVE
Bronx, NY 10456

(718) 590-1800

✔ PECOS✔ Accepts Medicare15 mi

Edward Afful, NP

Nurse Practitioner

NPI 1942834049

10 TALCOTT NOTCH RD
Farmington, CT 06030

(860) 679-6700

✔ PECOS✔ Accepts Medicare70 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Urban Light Psychiatric Np PLLC's NPI number?

The NPI number for Urban Light Psychiatric Np PLLC is 1750987566. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Urban Light Psychiatric Np PLLC located?

Urban Light Psychiatric Np PLLC is located at 180 S Broadway Ste 406, White Plains, NY 10605. The listed phone number is (347) 543-4726.

What is Urban Light Psychiatric Np PLLC's specialty?

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

Is Urban Light Psychiatric Np PLLC enrolled in Medicare?

Yes. Urban Light Psychiatric Np PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urban Light Psychiatric Np PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Urban Light Psychiatric Np PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Urban Light Psychiatric Np PLLC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.