Organization Active NPI

Assurance Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1316712904
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Daray UkaegbuNPI 1518515469
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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": []
}

Other providers in Dayton, OH

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.

Verify at the official NPI Registry.