El Hadji Malick Mbodji

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3621 N Kelley Ave
100
Oklahoma City, OK 73111-4520

Phone

(405) 524-5525

NPI assigned

Jul 14, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1306158712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 HERITAGE PARK RD",
            "address_2": "279",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205995",
            "telephone_number": "405-413-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 N KELLEY AVE",
            "address_2": "100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114520",
            "telephone_number": "405-524-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBODJI",
        "first_name": "EL HADJI",
        "middle_name": "MALICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Mazzarri
• Rita E Mba-Etuge
• Gwendoline E Mba
• Chinyere Mbadiwe, DDS
• Jefferson Mbenga, FNP
• Ukpeanwan Francis Mbong, LPC/LADC CANDIDATE
• Mary Donald Mbosowo, B. A.,M. A. PH.D
• Nadine Touayem Mbou, APRN-DNP
• Sa-Tae Seth MC Intosh
• MC Medical LLC

• Addiction (Substance Use Disorder) Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.