Individual provider Active NPI

Reginald Raluchukwu Ubeh

  • Adult Psychiatric/Mental Health Registered Nurse
  • Tempe, AZ
National Provider Identifier
1649925041
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RNP270696 Issued in AZ
Practice address
1850 W Rio Salado Pkwy
Tempe, AZ 85281-2165
Phone
(480) 618-6301
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RNP270696 AZ Primary

Addresses

Primary practice location

1850 W Rio Salado Pkwy
Tempe, AZ 85281-2165

Mailing address

20824 E Reins Rd
Queen Creek, AZ 85142-3779
Phone (832) 530-2821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP270696AZMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1649925041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20824 E REINS RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423779",
            "telephone_number": "832-530-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W RIO SALADO PKWY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812165",
            "telephone_number": "480-618-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBEH",
        "first_name": "REGINALD",
        "middle_name": "RALUCHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "RNP270696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.