Active NPI
Sandra Yuri-Mbelli Asongwe
- Psychiatric/Mental Health Nurse Practitioner
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704335172
- Practice address
- 44405 Woodward Ave
Pontiac, MI 48341-5023 - Phone
- (248) 858-3000
- NPI assigned
- Jul 13, 2021
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704335172 | MI | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 4704335172 | MI |
Addresses
Primary practice location
44405 Woodward Ave
Pontiac, MI 48341-5023
Mailing address
20836 Hall Rd # 124
Clinton Township, MI 48038-7227
Other practice location 1
42843 Richmond Dr
Sterling Heights, MI 48313-2945
Phone (908) 456-4801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CO, WA, KS, DC, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Therapy Solutions, PLLC | Current | Accepting new patients | |
| Solace Sphere B-Health and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group of Kansas PA | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
20836 Hall Rd
Clinton Twp, MI 48038
Phone (586) 416-2550
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
11480 E 13 Mile Rd
Warren, MI 48093
Phone (586) 216-9253
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Interoperability endpoints
- sasongwe192742@direct.trinity-health.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Warren, MI
- NPI 1093254120
-
- Mental Health Counselor
- Wichita, KS
- NPI 1831848316
Psychiatric/Mental Health
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
CO, DC, ID, MI, Psychiatric/Mental Health, WA
-
- Psychiatric/Mental Health Nurse Practitioner
- Pontiac, MI
- NPI 1194555359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1215509864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20836 HALL RD # 124",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415023",
"telephone_number": "248-858-3000"
}
],
"practiceLocations": [
{
"address_1": "42843 Richmond Dr",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483132945",
"country_code": "US",
"telephone_number": "908-456-4801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASONGWE",
"first_name": "SANDRA",
"middle_name": "YURI-MBELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704335172",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704335172",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.