Doctor profile · Federal record
Dr. KINGSLEY EBORU
Psychiatric/Mental Health Nurse Practitioner (CMS: NURSE PRACTITIONER) · GOODYEAR, AZ
- NPI 1336916105
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
13555 W MCDOWELL RD STE 205
GOODYEAR, AZ 853952626
(623) 295-1190 - Mailing address
-
5501 N 19TH AVE STE 425
PHOENIX, AZ 850152481
Credentials & registration
- NPI registered
- December 2023 — 3 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State license (1)
- Arizona #301080
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336916105. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$335
Transactions
8
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Neurocrine Biosciences, Inc. | 1 | $123.90 | |
| ACADIA Pharmaceuticals Inc | 2 | $122.40 | |
| Teva Pharmaceuticals USA, Inc. | 3 | $55.48 | |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | 1 | $17.45 | |
| Janssen Pharmaceuticals, Inc | 1 | $15.75 |