DR. SIMON IBEZIMCHI UDEMGBA PH.D. NPI 1043582646

NPI Information

NPI: 1043582646
Provider Name: DR. SIMON IBEZIMCHI UDEMGBA, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
401 NEW KARNER RD
BRANDON PLACE
ALBANY, NY
ZIP 12205
Phone: (518) 456-3614
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DR. Simon Ibezimchi Udemgba, PH.D. is a mental health counselor in Albany, NY. DR. Simon Ibezimchi Udemgba, PH.D. NPI is 1043582646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 NEW KARNER RD
BRANDON PLACE
ALBANY, NY
ZIP 12205-840
Phone: (518) 456-3614

The enumeration date for this NPI number is 1/30/2012 and was last updated on 5/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	005435	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005435	OTHER	NEW YORK	NYS OFFICE OF PROFESSIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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