NDIDI IFEOMA OKEKE


Address: 12064 Ashton Ave, Detroit, MI 48228-1139
Phone: 3132738372

NDIDI IFEOMA OKEKE (NPI# 1306008875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306008875
Entity Type Individual
Full Name NDIDI IFEOMA OKEKE
Other Name NDIDI IFEOMA NTUKOGU
Credential MD
Practice Address 12064 Ashton Ave
Detroit
MI 48228-1139
Practice Telephone 3132738372
Mailing Telephone 3132738372
Enumeration Date 2008-06-26
Last Update Date 2008-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
4301090720 MI Behavioral Health & Social Service Providers

Other Providers NDIDI OKEKE

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Office Location

Street Address 12064 ASHTON AVE
City DETROIT
State MI
Zip Code 48228-1139

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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

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1184866071 Shahe Viken Soghomonian Psychologist 2260 Fuller Ct Apt 2, Ann Arbor, MI 48105-2324 2009-03-24
1609082999 Psychopharmacology Associates PC Psychologist 30095 Northwestern Hwy Suite 20a, Farmington Hills, MI 48334 2007-05-15
1457566911 Margery J. Adelson Psychologist 3743 Meadow Ln, Saline, MI 48176-9062 2007-05-10
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Competitor

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City DETROIT
Zip Code 48228

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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