Uduakobong N Ikpe, PH.D., J.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3330 Issued in TN

Practice address

5409 Maryland Way Ste 202
Brentwood, TN 37027-1084

Phone

(305) 213-1087

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Uduakobong Ikpe-Welch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1568126001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271084",
            "telephone_number": "305-213-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271084",
            "telephone_number": "305-213-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKPE",
        "first_name": "UDUAKOBONG",
        "middle_name": "N",
        "credential": "PH.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2070",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "9728",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1447",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UDUAKOBONG",
            "last_name": "IKPE-WELCH",
            "credential": "PH.D., J.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• I Am Well Consulting, LLC
• Layana Ibsies
• Korab Idrizi, PHD
• Olivia Ierfino
• Samuel Iglesias, CNIM
• Imagine Pediatrics Medical of New York, PLLC
• Imaging Specialists PLLC
• Improved Dynamics ABA of TN LLC (Improved Dynamics ABA West)
• Sarah Imran
• Inception RX

• Clinical Psychologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.