Tyrone O'Banner
Nurse Practitioner, Psych/Mental Health in Springfield, Massachusetts
1598482580- Practice location
- 417 Liberty St, Springfield, MA 01104-3736
- Phone
- 413-301-9355
- Fax
- —
- Last updated
- May 2, 2025
Tyrone O'Banner is a Nurse Practitioner, Psych/Mental Health based in Springfield, MA. Tyrone O'Banner practices in Springfield, MA. The NPI Number for Tyrone O'Banner is 1598482580 and holds a License No. APRN10003790 (MA). The current practice location address for Tyrone O'Banner is 417 Liberty St, Springfield, MA 01104-3736 and can be reached out via phone at 413-301-9355.
Provider Profile Details
- NPI Number
- 1598482580
- Provider Name
- Tyrone O'Banner
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 417 Liberty St, Springfield, MA 01104-3736
- Phone Number
- 413-301-9355
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 20, 2022
- Last Update Date
- May 2, 2025
- Certification Date
- May 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 417 Liberty St
Springfield, MA 01104-3736 - City
- Springfield
- State
- Massachusetts
- Zip
- 01104-3736
- Phone Number
- 413-301-9355
Provider Business Mailing Address Details
- Address
- Po Box 6768
Holyoke, MA 01041-6768 - City
- Holyoke
- State
- MA
- Zip
- 01041-6768
- Phone Number
- 413-218-4888
License Information
- License Number (1)
- APRN10003790
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- RN2345699
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse, Psych/Mental Health · 163WP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tyrone O'Banner?
The NPI number of Tyrone O'Banner is 1598482580. It was assigned on October 20, 2022 and is currently active in the NPPES registry.
What is the specialty of Tyrone O'Banner?
Tyrone O'Banner is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number APRN10003790.
Where does Tyrone O'Banner practice?
The practice location is 417 Liberty St, Springfield, MA 01104-3736. The office can be reached at 413-301-9355 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598482580 directly on the NPPES registry website.