Individual provider Active NPI

Precious Nnedimma Ogu, PH.D.

  • Clinical Neuropsychologist
  • Riverview, FL
National Provider Identifier
1942939210
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
9321 Cerulean Dr Apt 204
Riverview, FL 33578-4767
Phone
(713) 498-4229
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

9321 Cerulean Dr Apt 204
Riverview, FL 33578-4767

Mailing address

410 S Ware Blvd Ste 814
Tampa, FL 33619-4456
Phone (813) 483-9989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321001230 FL Practitioner - Clinical Psychologist 7810361532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 S Ware Blvd
Suite 814
Tampa, FL 33619-4456
Phone (813) 483-9989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Neuropsychology LLC Clinical Neuropsychologist CurrentSince Feb 15, 2022 Accepting new patients

Locations

410 S Ware Blvd
Ste 814
Tampa, FL 33619
Phone (813) 483-9989

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1942939210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WARE BLVD STE 814",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194456",
            "telephone_number": "813-483-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 CERULEAN DR APT 204",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784767",
            "telephone_number": "713-498-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGU",
        "first_name": "PRECIOUS",
        "middle_name": "NNEDIMMA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.