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

Tyrone O'Banner

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1598482580

Tyrone O'Banner is a Nurse Practitioner in Springfield, Massachusetts. Qualified in 2024, 2 years ago. Practices with Behavioral Health Network Inc, a 143-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

417 Liberty St
Springfield, MA 01104-3736
Phone: (413) 301-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN10003790 (MA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN2345699 (MA)

Record details

NPI number1598482580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2022
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing addressPo Box 6768, Holyoke, MA 01041-6768

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Behavioral Health Network Inc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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