ULTIMATE PROFESSIONAL SERVICES
NPI 1861149296
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Active since March 05, 2022
216 COMMERCIAL ST NE, SALEM, OR 97301(614) 804-0866(253) 954-3116 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2024, Mar 5, 2022 (2 updates tracked since 2022).

About Ultimate Professional Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ULTIMATE PROFESSIONAL SERVICES (NPI 1861149296) is a healthcare organization registered as a psychiatric/mental health in Salem, Oregon and active in the NPI registry since March 2022. The organization lists Annabel Owusu, Pmhnp, as its authorized official.Information from the official NPPES registry record, last updated December 9, 2024.

NPPES Registry Identity

NPI1861149296
Entity TypeOrganization
Legal Business NameULTIMATE PROFESSIONAL SERVICES
Location Address216 COMMERCIAL ST NESalem, OR 97301-3410
Mailing Address22498 E Twin Acres DrQueen Creek, AZ 85142-0609 · (614) 804-0866
Fax(253) 954-3116
Organization SubpartNo
Authorized OfficialAnnabel OwusuPmhnp · (614) 804-0866
Enumeration DateMarch 5, 2022
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1861149296 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Nurse Practitioner · Psychiatric/Mental Health

Taxonomy 363LP0808X · Physician Assistants & Advanced Practice Nursing Providers

216 COMMERCIAL ST NE, Salem, OR 97301

Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861149296, enumerated as an "organization" on March 05, 2022.

The provider is located at 216 COMMERCIAL ST NE SALEM, OR 97301 and the phone number is (614) 804-0866.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.