Organization Active NPI

Dominus Mental Health LLC

Doing business as Amenaghawon Ugwuede

  • Psychiatric/Mental Health Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1588401137
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DOMINUS MENTAL HEALTH LLC
Doing business as
Amenaghawon Ugwuede
Practice address
1431 Opus PL Ste 110
Downers Grove, IL 60515-1164
Phone
(203) 663-0540
NPI assigned
Jul 11, 2024
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Dr. Amenaghawon Ugwuede, DNP, PMHNP-BCNPI 1780347955
Title
Nurse Practitioner
Phone
(203) 212-8469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1431 Opus PL Ste 110
Downers Grove, IL 60515-1164

Mailing address

2880 Cochran St # 1098
Simi Valley, CA 93065-0700

Other names 1

  • Amenaghawon Ugwuede Doing business as

National Provider Directory

National Provider Directory

Locations

777 S Alameda St
Ste 2
Los Angeles, CA 90021

2880 Cochran St
#1098
Simi Valley, CA 93065

1431 Opus Pl
Ste 110
Downers Grove, IL 60515
Phone (630) 442-1883

450 Alaskan Way S
Ste 200
Seattle, WA 98104
Phone (206) 208-9095

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": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1588401137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 COCHRAN ST # 1098",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OPUS PL STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151164",
            "telephone_number": "203-663-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINUS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "UGWUEDE",
        "authorized_official_first_name": "AMENAGHAWON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-212-8469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amenaghawon Ugwuede",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amenaghawon Ugwuede",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.