NPIMap

Organization Active NPI

Native Country Healthcare Systems

  • Adult Mental Health Clinic/Center
  • Mesa, AZ
National Provider Identifier
1386352599
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NATIVE COUNTRY HEALTHCARE SYSTEMS
Practice address
1241 E Broadway Rd Ste 14
Mesa, AZ 85204-2254
Phone
(847) 766-9779
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Prof. Ugorji Wilson Onyeani, RN,MD
Title
President
Phone
(602) 922-6182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1241 E Broadway Rd Ste 14
Mesa, AZ 85204-2254

Mailing address

1241 E Broadway Rd Ste 14
Mesa, AZ 85204-2254
Phone (847) 766-9779

Other names 1

  • NATIVE COUNTRY HEALTHCARE SYSTEMS LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@nativecountryhealhcare.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Native Country Healthcare Systems4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1386352599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E BROADWAY RD STE 14",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042254",
            "telephone_number": "847-766-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E BROADWAY RD STE 14",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042254",
            "telephone_number": "847-766-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE COUNTRY HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "ONYEANI",
        "authorized_official_first_name": "UGORJI",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-922-6182",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "RN,MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@nativecountryhealhcare.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1241 E Broadway Rd Ste 14",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852042254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NATIVE COUNTRY HEALTHCARE SYSTEMS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.