Ekuevugbe Priscillia Onosode, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

284474 Issued in AZ

Practice address

20950 N Tatum Blvd Ste 380
Phoenix, AZ 85050-4258

Phone

(480) 626-7584

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, AZ2 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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serenity TMS Centers LLCGroup PAC ID 0840550596, 45 clinicians

Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.ekuevugbeonosode@150339.advancedmd-direct.com

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.

• Clarity Wellness Group, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1164378980
  Medicare reassignment NPD Authorized official
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135
  Medicare reassignment Care Compare group NPD
• Serenity TMS Centers LLC

  • Psychiatry Physician
  • Lehi, UT
  • NPI 1710492095

  AZ

  Medicare reassignment Care Compare group NPD
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130
  NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1417684580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504258",
            "telephone_number": "480-626-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504258",
            "telephone_number": "480-626-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 N 95th Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375074",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7011 Clampton Ct",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481872701",
            "country_code": "US",
            "telephone_number": "248-924-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 E Pecos Rd Ste 247",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852953214",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2046 W Riverview Auto Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017597",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36457 N Gantzel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407343",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Gilbert Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342394",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 E Chandler Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487646",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 E Camelback Rd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163458",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONOSODE",
        "first_name": "EKUEVUGBE",
        "middle_name": "PRISCILLIA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704319308",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "284474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "eonosode",
            "affiliation": "N",
            "endpointDescription": "Access and share information securely",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7011 Clampton Ct",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481872701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Onis LLC
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• Megan T Onofray, PT
• Onpoint Diagnostic
• Korrina Nicole Onstad
• Caroline Self Onstott, PA-C
• Onthego Pharmacy
• Marhiya Ontiveros

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.