Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald Mabongale Makobong

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134797657

Gerald Mabongale Makobong is a Psychiatric/Mental Health Nurse Practitioner in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

410 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0029173 (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence LE-00032501 (OH)

Record details

NPI number1134797657
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

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