Organization Active NPI

Metro Mental Healthcare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverdale Park, MD
National Provider Identifier
1063925188
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
METRO MENTAL HEALTHCARE, LLC
Practice address
4404 Queensbury Rd Ste 210
Riverdale Park, MD 20737-1068
Phone
(301) 693-0501
Fax
(240) 582-1393
NPI assigned
Nov 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Ms. Immaculata Ulu, NURSE PRACTITIONERNPI 1740298579
Title
President
Phone
(301) 693-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4404 Queensbury Rd Ste 210
Riverdale Park, MD 20737-1068

Mailing address

4404 Queensbury Rd Ste 210
Riverdale Park, MD 20737-1068
Phone (301) 693-0501

Other names 1

  • Ukoh Metro Mental Healthcare, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171215000572 DC Part B Supplier - Clinic/Group Practice 8325306582 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1063925188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD STE 210",
            "city": "RIVERDALE PARK",
            "state": "MD",
            "postal_code": "207371068",
            "telephone_number": "301-693-0501",
            "fax_number": "240-582-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD STE 210",
            "city": "RIVERDALE PARK",
            "state": "MD",
            "postal_code": "207371068",
            "telephone_number": "301-693-0501",
            "fax_number": "240-582-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MENTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "ULU",
        "authorized_official_first_name": "IMMACULATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-693-0501",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ukoh Metro Mental Healthcare, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverdale Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.