Abundant Life Health Support

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ABUNDANT LIFE HEALTH SUPPORT

Practice address

3508 Pinkham Way
Raleigh, NC 27616-8322

Phone

(952) 737-3202

Fax

(919) 229-9577

NPI assigned

May 23, 2024

Organization subpart

No

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

Authorized official

Name

Martha Kerubo Ochako, NPNPI 1497417844

Title

Pmhnp

Phone

(952) 737-3202

Specialties & licenses 1

Addresses

Practitioners 1

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

• Martha Kerubo Ochako, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Raleigh, NC
  • NPI 1497417844
  NPD Authorized official

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1992544381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 PINKHAM WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168322",
            "telephone_number": "952-737-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 PINKHAM WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168322",
            "telephone_number": "952-737-3202",
            "fax_number": "919-229-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HEALTH SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "OCHAKO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "KERUBO",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "952-737-3202",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Access 1 Medical
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• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.