Oghenero Ewoma Olori

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

301033 Issued in AZ

Practice address

3411 N 16TH St
Phoenix, AZ 85016-7150

Phone

(602) 576-2873

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind 247 Practice LLCGroup PAC ID 6406253541, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oghenero.oloripmhnp.p1@direct.cbridges.nextgenshare.com

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.

• Mind 247 Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1902472467
  Medicare reassignment Care Compare group NPD
• Neropsych Wellness Center, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1740073642
  NPD Authorized official
• New Dreams Recovery and Housing

  • Community/Behavioral Health Agency
  • El Mirage, AZ
  • NPI 1801774252
  NPD Authorized official
• New Dreams Recovery Center LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1053249169
  NPD Authorized official
• Icare Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
  • NPI 1740026947
  Medicare reassignment
• Mind 247 Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1487316386
  NPD
• Mind 247 Practice LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1659089951
  NPD
• Community Bridges, Inc.

  dba Central City Addiction Recovery Center

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1649426909
  NPD (past)
• Community Bridges, Inc.

  dba CCARC Crisis

  • Nursing Care Agency
  • Phoenix, AZ
  • NPI 1891288049
  NPD (past)
• Humura Care Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1033810049
  NPD (past)
• Icare Health Services LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1093404766
  NPD (past)
• Precision Wellness Center, LLC

  • Mental Health Counselor
  • Litchfield Park, AZ
  • NPI 1952132748
  NPD (past)

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1689441636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 N 16TH ST APT 1075",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167167",
            "telephone_number": "602-576-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167150",
            "telephone_number": "602-576-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLORI",
        "first_name": "OGHENERO",
        "middle_name": "EWOMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Olmschenk, FNP
• Kay Lynn Olmsted, APRN
• Leanne Olney, PHARMD
• Lena M Olofson
• Carl Olongo, PHARM.D
• Abiola Olowoyeye
• Ajona Damgaard Olsen, ANP
• Ann Sullivan Olsen, PT
• Brady Louis Olsen, FNP
• Dawn Marie Olsen, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.