Chinyere Evangeline Ubah, NP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00489500 Issued in NJ

Practice address

100 Townsend Ave
Berlin, NJ 08009-9011

Phone

(609) 534-9196

NPI assigned

Feb 11, 2014

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Chinyere Evangeline Ohaegbulem Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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, 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krise Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherry Hill, NJ
  • NPI 1386340495
  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
• JLS Medical PC

  dba Wellbrook Health

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1164007043
  Medicare reassignment
• Krise Health Services LLC

  • Primary Care Clinic/Center
  • Cherry Hill, NJ
  • NPI 1790491306
  NPD
• Legacy Treatment Serivces, Inc.

  • Community/Behavioral Health Agency
  • Monmouth Junction, NJ
  • NPI 1538670864
  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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1770907784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 QUIET RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815628",
            "telephone_number": "609-248-0155",
            "fax_number": "508-213-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWNSEND AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099011",
            "telephone_number": "609-534-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Mayor Gibson Blvd Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Haddonfield Rd Ste 222",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080021467",
            "country_code": "US",
            "telephone_number": "609-248-0155",
            "fax_number": "508-213-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBAH",
        "first_name": "CHINYERE",
        "middle_name": "EVANGELINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00489500",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00489500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINYERE",
            "last_name": "OHAEGBULEM",
            "middle_name": "EVANGELINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Transcare, LLC
• Tri-State Therapy Consultants, LLC
• Marlisa R Turpin, LSW
• Twin Oaks Community Services
• Twisted Laces LLC (Schusters Diabetic Shoes & Medical Supplies)
• Omotola Ugochuku, DMD
• Matthew T Unger, DPT
• Miguel Vazquez
• Luis Fernando Vera, M.D.
• Tara Virgilio, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.