Ursula N Odimara, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP013474 Issued in PA

Practice address

11082 Knights Rd
Philadelphia, PA 19154-3511

Phone

(215) 632-9040

Fax

(215) 632-0610

NPI assigned

Jan 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ursula N Akujobi Former name

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Treatment Services IncGroup PAC ID 0042526899, 15 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 and National Provider Directory roles.

• Healthy Mind LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton, NJ
  • NPI 1437800893
  Medicare reassignment NPD Authorized official
• Legacy Treatment Services Inc

  • Community/Behavioral Health Agency
  • Hainesport, NJ
  • NPI 1730594656
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  PA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Legacy Treatment Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pennington, NJ
  • NPI 1770362253
  NPD

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1629490222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11082 KNIGHTS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543511",
            "telephone_number": "215-632-9040",
            "fax_number": "215-632-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 KNIGHTS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543511",
            "telephone_number": "215-632-9040",
            "fax_number": "215-632-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2595 Interstate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Horizon Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086911910",
            "country_code": "US",
            "telephone_number": "215-771-3834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODIMARA",
        "first_name": "URSULA",
        "middle_name": "N",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013474",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00498400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP013474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URSULA",
            "last_name": "AKUJOBI",
            "middle_name": "N",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elisheba Odei, MD
• Terryann Odeleye
• Vincent Odenigbo, MD
• Daniella Atieno Odero
• Aderinsola Oluwasikemi Odetunde, MD
• Charles Odion, D.D.S.
• Jack Armstrong Odiorne
• Daria Odom, LSW
• Lettie Odom
• Nicole Odom

• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.