Active NPI
Assurance Psychiatric Services
- Psychiatric/Mental Health Nurse Practitioner
- Dayton, OH
National Provider Identifier
1316712904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ASSURANCE PSYCHIATRIC SERVICES
- Practice address
- 4130 Linden Ave Ste 180
PMB 1193
Dayton, OH 45432-3058 - Phone
- (937) 813-8422
- NPI assigned
- Nov 24, 2023
- 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
- Daray Ukaegbu
- Title
- Pmhnp
- Phone
- (937) 813-8422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4130 Linden Ave Ste 180
PMB 1193
Dayton, OH 45432-3058
Mailing address
4130 Linden Ave Ste 180
PMB 1193
Dayton, OH 45432-3058
Phone (937) 813-8422
National Provider Directory
National Provider DirectoryLocations
4130 Linden Ave
Ste 180
Dayton, OH 45432
Phone (515) 802-1281
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cincinnati, OH
- NPI 1518515469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700784000000",
"number": "1316712904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 LINDEN AVE STE 180",
"address_2": "PMB 1193",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323058",
"telephone_number": "937-813-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 LINDEN AVE STE 180",
"address_2": "PMB 1193",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323058",
"telephone_number": "937-813-8422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURANCE PSYCHIATRIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-24",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A",
"authorized_official_last_name": "UKAEGBU",
"authorized_official_first_name": "DARAY",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "937-813-8422"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Associated Therapeutic Services, Inc.
- Assurance Transportation
- Assured Health Care Inc.
- Asthma and Emphysema Center Inc
- Elizabeth Asti
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.