Peter Jude Chukwuemeka Otugo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8813 Tracy Dr
Oklahoma City, OK 73132-1070

Phone

(405) 503-7010

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1972353308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 TRACY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321070",
            "telephone_number": "405-503-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 TRACY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321070",
            "telephone_number": "405-503-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUGO",
        "first_name": "PETER JUDE",
        "middle_name": "CHUKWUEMEKA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otologic Medical Clinic, Inc.
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• Melissa Nichole Otto, PPS
• Ou Childrens Physicians Dental Service-Oucp Dental Service
• Ou College of Dentistry
• Ou College of Dentistry Predoctoral Program
• Ou College of Nursing Take Charge Program (Take Charge Program)
• Ou Graduate Orthodontics

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.