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SOULBRIDGE HEALTH INC
NPI 1821947516
Clinic/Center - Mental Health (Including Community Mental Health Center) in Albany, NY

Active since January 26, 2026
418 BROADWAY # 10795, ALBANY, NY 12207(410) 900-8897(410) 888-7145 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Soulbridge Health Inc NPPES

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

SOULBRIDGE HEALTH INC (NPI 1821947516) is a healthcare organization registered as a mental health (including community mental health center) in Albany, New York and active in the NPI registry since January 2026. The organization lists Folashade Kanimodo, Director, as its authorized official.

NPPES Registry Identity

NPI1821947516
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOULBRIDGE HEALTH INC
Location Address418 BROADWAY # 10795Albany, NY 12207-2922
Mailing Address418 Broadway # 10795Albany, NY 12207-2922 · (410) 900-8897 · Fax (410) 888-7145
Phone(410) 900-8897
Fax(410) 888-7145
Organization SubpartNo
Authorized OfficialFolashade KanimodoDirector · (410) 900-8897
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1821947516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
418 BROADWAY # 10795, Albany, NY 12207
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soulbridge Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Soulbridge Health Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Folashade Kanimodo, FNP-BC, PMHNP-BC
Nurse Practitioner
NPI 1417174889
1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTER
Baltimore, MD 21251
(443) 885-3236
✔ PECOS✔ Accepts Medicare272 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 Soulbridge Health Inc's NPI number?

The NPI number for Soulbridge Health Inc is 1821947516. It was assigned to this organization in the NPPES registry on January 26, 2026.

Where is Soulbridge Health Inc located?

Soulbridge Health Inc is located at 418 Broadway # 10795, Albany, NY 12207. The listed phone number is (410) 900-8897.

What is Soulbridge Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Soulbridge Health Inc enrolled in Medicare?

Yes. Soulbridge Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soulbridge Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Soulbridge Health Inc. 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 Soulbridge Health Inc was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.