Obunadike Mbanugo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11000693 Issued in FL

Practice address

10855 SW 112TH Ave Apt 118
Miami, FL 33176-3292

Phone

(305) 905-0233

NPI assigned

Jan 1, 2019

Last updated

Jan 1, 2019By 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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment
• Mindglow Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1629875711
  Authorized official Same address or phone

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546300800000",
    "number": "1700358777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 SW 112TH AVE APT 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763292",
            "telephone_number": "305-905-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 SW 112TH AVE APT 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763292",
            "telephone_number": "305-905-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBANUGO",
        "first_name": "OBUNADIKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11000693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MB Mental Therapy Inc
• MB Ortho Services Corp
• MB Pharmacy Inc
• MB Primary and Concierge Health
• Mba Acupuncture. Inc
• Mbdevelopment of South Florida, LLC
• Mbehavior Services LLC
• MBM Medical Services Inc
• Mbod LLC (MboD Medical Spa)
• MBS Community, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.