Chidiebere Louis Osondu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN196171 Issued in GA

Practice address

1225 W 190TH St Ste 280
Gardena, CA 90248-4305

Phone

(310) 515-8113

Fax

(310) 538-2102

NPI assigned

May 13, 2021

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, GA, AZ, WY, DE, HI, NC, NM8 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 8

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  GA, Psychiatric/Mental Health, WY

  Medicare reassignment Care Compare group NPD
• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  Medicare reassignment NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  NC

  Medicare reassignment NPD
• Chronic Disease Management of Georgia, LLC

  • Physical Medicine & Rehabilitation Physician
  • Monroe, GA
  • NPI 1699300939

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Forefront - Murdock Medical Services PC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1720581473

  CA

  Medicare reassignment NPD
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612

  HI, WY

  Medicare reassignment NPD
• Forefront-Johnson Medical Service Corporation

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1194223933

  GA

  Medicare reassignment NPD
• Forefront-Matteson Medical Services PC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1659982551

  NC

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, DE, GA, HI, NM, Psychiatric/Mental Health

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  GA

  Medicare reassignment NPD
• Easylife

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • McDonough, GA
  • NPI 1003530916
  Authorized official Same address or phone
• Beluga Health Corp

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1447964101
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1487228532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 ZACHARYS WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539024",
            "telephone_number": "678-499-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "310-515-8113",
            "fax_number": "310-538-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Zacharys Way",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302539024",
            "country_code": "US",
            "telephone_number": "678-499-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSONDU",
        "first_name": "CHIDIEBERE",
        "middle_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020620",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN196171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Ortiz, NONE
• Teresa Ortiz
• Valerie Ortiz, NONE
• Jennifer Oseguera
• Grant Oshimo, PT, DPT
• Sylvia Osorio, M.D.
• George Raymond Osuna, SUD COUNSELOR
• Alec Ota, NONE
• Angela Ugochi Otegbulu, NP
• Alina Otero

• Psychiatric/Mental Health Nurse Practitioner in Gardena, CA
• Providers in Gardena, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.