Active NPI
Ken Ugochukwu-Okonkwo
- Health Service Psychologist
- Dallas, TX
National Provider Identifier
1013733484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 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 DirectoryLocations
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.