Ultimate Professional Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ULTIMATE PROFESSIONAL SERVICES

Practice address

216 Commercial St NE
Salem, OR 97301-3410

Phone

(614) 804-0866

Fax

(253) 954-3116

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Annabel OwusuNPI 1588975452

Title

Pmhnp

Phone

(614) 804-0866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OR2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annabel Owusu

  • Psychiatric/Mental Health Nurse Practitioner
  • Arizona City, AZ
  • NPI 1588975452

  TX

  Medicare reassignment NPD Authorized official
• Gostine Dankwa, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1336683440

  Multi-Specialty, OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1861149296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22498 E TWIN ACRES DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851420609",
            "telephone_number": "614-804-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 COMMERCIAL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013410",
            "telephone_number": "614-804-0866",
            "fax_number": "253-954-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "ANNABEL",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "614-804-0866"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ubh of Oregon, LLC
• Affiongma Udosenata Amadu
• Glory Omosede Ugiagbe, PMHNP
• Maria Del Carmen Uirbe Mendez
• Amy L Ullan, PA
• Ultreia Counseling Services, LLC
• Marlee Jane Underhill, LCSW
• James Herschel Underwood
• Starlynn Evangeline Underwood
• Tiffany Lynn Underwood, B.S.

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.