Organization Active NPI

Ultimate Mind Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomsburg, PA
National Provider Identifier
1447157383
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ULTIMATE MIND HEALTHCARE PLLC
Practice address
11 Penn Brook Dr
Bloomsburg, PA 17815-8396
Phone
(814) 247-0106
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Alexander Ayonbo Oboro, NPNPI 1346807849
Title
Aprn/Pmhnp-BC
Phone
(215) 252-6645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11 Penn Brook Dr
Bloomsburg, PA 17815-8396

Mailing address

250 Commons Dr
PMB 322
Du Bois, PA 15801-3808
Phone (814) 247-0106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1447157383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COMMONS DR",
            "address_2": "PMB 322",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013808",
            "telephone_number": "814-247-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PENN BROOK DR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158396",
            "telephone_number": "814-247-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE MIND HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "OBORO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "AYONBO",
        "authorized_official_title_or_position": "APRN/PMHNP-BC",
        "authorized_official_telephone_number": "215-252-6645",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.