Individual provider Active NPI

Amenaghawon Alice Ugwuede, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sylmar, CA
National Provider Identifier
1780347955
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020604 Issued in CA
Practice address
14238 Saranac LN
Sylmar, CA 91342-1435
Phone
(818) 485-0888
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209024204 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020604 CA Primary

Addresses

Primary practice location

14238 Saranac LN
Sylmar, CA 91342-1435

Mailing address

2880 Cochran St # 1098
Simi Valley, CA 93065-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, WA, MA, CT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20221122001182 CA Practitioner - Nurse Practitioner 5890163935 Reassigns benefits to 2 organizations
I20230907000822 IL Practitioner - Nurse Practitioner 5890163935 Reassigns benefits to 2 organizations
I20240904001502 WA Practitioner - Nurse Practitioner 5890163935 Reassigns benefits to 1 organization
I20240912004131 MA Practitioner - Nurse Practitioner 5890163935 Reassigns benefits to 1 organization
I20250818004430 CT Practitioner - Nurse Practitioner 5890163935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95020604CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Dec 24, 2023 Accepting new patients
Alliance for Wellness, Inc. Psychiatric/Mental Health CurrentSince Feb 19, 2024 Accepting new patients
Dominus Mental Health LLC Psychiatric/Mental Health CurrentSince Apr 4, 2024 Accepting new patients
Edgewood Clinical Services, P.C. Psychiatric/Mental Health CurrentSince Aug 7, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 30, 2024 Accepting new patients
Los Angeles County Department of Mental Health PastSince Dec 24, 2023 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

501 E Hardy St
Ste 425
Inglewood, CA 90301
Phone (310) 419-4303

777 S Alameda St
Ste 2
Los Angeles, CA 90021

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2880 Cochran St
#1098
Simi Valley, CA 93065

14238 Saranac Ln
Sylmar, CA 91342
Phone (818) 485-0888

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

15 River Rd
Ste 15B
Wilton, CT 06897
Phone (203) 401-8464

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1431 Opus Pl
Ste 110
Downers Grove, IL 60515
Phone (630) 442-1883

1010 Lake St
Ste 110
Oak Park, IL 60301
Phone (331) 529-7413

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

450 Alaskan Way S
Ste 200
Seattle, WA 98104
Phone (206) 208-9095

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICHDD/Endpoint/CICHDD

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1780347955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 COCHRAN ST # 1098",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14238 SARANAC LN",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421435",
            "telephone_number": "818-485-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWUEDE",
        "first_name": "AMENAGHAWON",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209024204",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.