Individual provider Active NPI

Dumebi Uchendu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1558870378
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP10565 Issued in AZ
Practice address
1201 S 7TH Ave Ste 200
Phoenix, AZ 85007-4076
Phone
(623) 236-2029
NPI assigned
Sep 25, 2017
Last updated
Sep 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10565 AZ Primary

Addresses

Primary practice location

1201 S 7TH Ave Ste 200
Phoenix, AZ 85007-4076

Mailing address

18275 W Minnezona Ave
Goodyear, AZ 85395-7635
Phone (480) 223-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20171214000901 AZ Practitioner - Nurse Practitioner 0941568240 Reassigns benefits to 3 organizations
I20260515001339 TX Practitioner - Nurse Practitioner 0941568240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10901 E McDowell Rd
Scottsdale, AZ 85256-5300

1100 E Bell Rd
Apt 2104
Phoenix, AZ 85022-3076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10565AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc Multi-Specialty CurrentSince Nov 18, 2024 Accepting new patients
Family Service Agency CurrentSince Jul 8, 2023 Accepting new patients
Recovery Innovations, Inc Multi-Specialty Current Accepting new patients
Family Service Agency CurrentSince Jul 8, 2023 Accepting new patients
Senior Doc Az Medical PC Multi-Specialty CurrentSince Nov 18, 2024 Accepting new patients
Recovery Innovations, Inc CurrentSince Mar 3, 2025 Accepting new patients

Locations

1107 S Gilbert Rd
Ste 104
Mesa, AZ 85204
Phone (602) 264-9891

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

10220 N 31st Ave
Ste 103
Phoenix, AZ 85051

14631 N Cave Creek Rd
Ste 103
Phoenix, AZ 85022
Phone (480) 559-5805

2701 N 16th St
Ste 316
Phoenix, AZ 85006

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1558870378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 W MINNEZONA AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957635",
            "telephone_number": "480-223-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850074076",
            "telephone_number": "623-236-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHENDU",
        "first_name": "DUMEBI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.