Mesode Sobe Uduaghan, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01400000 Issued in NJ

Practice address

4345 US 9
Freehold, NJ 07728-4215

Phone

(732) 431-5300

NPI assigned

Nov 21, 2022

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 NJ, MA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Center at Millbury LLCGroup PAC ID 4284002825, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Counseling Center at Millbury LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Millbury, MA
  • NPI 1922646272
  Medicare reassignment Care Compare group NPD
• Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clark, NJ
  • NPI 1245637578
  Medicare reassignment NPD
• Counseling Center at Fair Lawn, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Lawn, NJ
  • NPI 1407276975
  Medicare reassignment NPD
• Counseling Center at Freehold LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Freehold, NJ
  • NPI 1013269216
  Medicare reassignment NPD
• Counseling Center at Toms River LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toms River, NJ
  • NPI 1326442971
  Medicare reassignment NPD
• Ctrlcare Behavioral Health Princeton LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Randolph, NJ
  • NPI 1912650870
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1316656127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 US 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284215",
            "telephone_number": "732-431-5300",
            "fax_number": "732-431-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 US 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284215",
            "telephone_number": "732-431-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBE UDUAGHAN",
        "first_name": "MESODE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-06-13",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01400000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Sloan
• Bernice Small, P.T.
• Emma Rose Smith
• Mary-Jane Snair, LP C
• Craig Jordan Snyder, DC PT
• Timothy Sobo
• Leslie William Sojka, M.D.
• Andrea Lynn Sollitto, ED.D.
• Shawn Soloveychik
• Emma Sommers, LPC

• Psychiatric/Mental Health Nurse Practitioner in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.

Verify at the official NPI Registry.