Organization Active NPI

Bernardine N Okpala

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1104415793
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BERNARDINE N OKPALA
Practice address
9420 Annapolis Rd Ste 306
Lanham, MD 20706-3021
Phone
(240) 583-7493
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Bernardine N OkpalaNPI 1184284424
Title
Ceo
Phone
(202) 299-5100

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

9420 Annapolis Rd Ste 306
Lanham, MD 20706-3021

Mailing address

5412 Richardsons Endeavor Dr
Bowie, MD 20720-3395
Phone (240) 583-7493

Other practice location 1

9420 Annapolis Rd Ste 307
Lanham, MD 20706-3078
Phone (240) 583-7493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210127001664 DC Part B Supplier - Clinic/Group Practice 2365856614 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD; Washington, DC
O20260520003639 DE Part B Supplier - Clinic/Group Practice 2365856614 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

9420 Annapolis Rd
Ste 306
Lanham, MD 20706
Phone (240) 398-6382

9420 Annapolis Rd
Ste 306307
Lanham, MD 20706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1104415793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 RICHARDSONS ENDEAVOR DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203395",
            "telephone_number": "240-583-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 ANNAPOLIS RD STE 306",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063021",
            "telephone_number": "240-583-7493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9420 Annapolis Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063078",
            "country_code": "US",
            "telephone_number": "240-583-7493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERNARDINE N OKPALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "OKPALA",
        "authorized_official_first_name": "BERNARDINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-299-5100"
    },
    "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": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.