Odette Aneng Ngalla

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704310729 Issued in MI

Practice address

21542 Moross Rd
Detroit, MI 48236-2041

Phone

(513) 476-4691

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Wellness Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
  • NPI 1538954474
  Medicare reassignment NPD Authorized official
• Children Assessment and Therapy Services LLC

  • Mental Health Counselor
  • Farmington Hills, MI
  • NPI 1336871706
  Medicare reassignment NPD
• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100
  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1194488858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21542 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362041",
            "telephone_number": "513-476-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21542 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362041",
            "telephone_number": "513-476-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGALLA",
        "first_name": "ODETTE",
        "middle_name": "ANENG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704310729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Level Home Care
• Next2Kin Care LLC
• Nextstep Care Services, LLC
• Nextstep Services LLC
• Taylor Shelby NG, RN
• Josephine Irukaego Ngama, MD
• Lenyie Ngbogbara
• Julie Ngo
• Marilyn Nah Ngundam, NP -C, PMHNP-BC
• Nam Tran Nguyen Lam, DO

• Psychiatric/Mental Health Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.