Organization Active NPI

Ken Ugochukwu-Okonkwo

  • Health Service Psychologist
  • Dallas, TX
National Provider Identifier
1013733484
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
KEN UGOCHUKWU-OKONKWO
Practice address
7777 Forest LN
Dallas, TX 75230-2571
Phone
(972) 465-9878
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ken Ugochukwu-Okonkwo, CMHP
Title
Community Psychologist
Phone
(945) 296-9255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

7777 Forest LN
Dallas, TX 75230-2571

Mailing address

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 465-9878

Other practice location 1

1947 K Ave Ste B100
Plano, TX 75074-5943
Phone (214) 501-2181

Other practice location 2

1301 S Bowen Rd Ste 200
Arlington, TX 76013-2262
Phone (817) 264-4500

National Provider Directory

National Provider Directory

Locations

1947 K Ave
Ste B100
Plano, TX 75074
Phone (214) 501-2181

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1013733484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-465-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-465-9878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 K Ave Ste B100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750745943",
            "country_code": "US",
            "telephone_number": "214-501-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Bowen Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760132262",
            "country_code": "US",
            "telephone_number": "817-264-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEN UGOCHUKWU-OKONKWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "UGOCHUKWU-OKONKWO",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "COMMUNITY PSYCHOLOGIST",
        "authorized_official_telephone_number": "945-296-9255",
        "authorized_official_credential": "CMHP"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.