Active NPI
Cynthia Ohonba, NP
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71016555A
- Practice address
- 201 N Illinois St
Indianapolis, IN 46204-1904 - Phone
- (323) 205-7088
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71016555A | IN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 317290 | AZ |
Addresses
Primary practice location
201 N Illinois St
Indianapolis, IN 46204-1904
Mailing address
743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 777-9600
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 458-7563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71016555A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Healthcare Solutions LLC | Current | Accepting new patients | |
| Sundance Medical Associates PLLC | Past | Accepting new patients |
Locations
2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499
87 S US Highway 89
Chino Valley, AZ 86323
Phone (928) 404-1488
3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645
3336 E Chandler Heights Rd
Gilbert, AZ 85298
Phone (480) 813-3636
8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100
743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000
3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583
5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1942481718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1811705387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011813",
"telephone_number": "928-777-9600",
"fax_number": "855-449-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N ILLINOIS ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041904",
"telephone_number": "323-205-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHONBA",
"first_name": "CYNTHIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71016555A",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "317290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.