NPIMap

Organization Active NPI

P. Otaigbe Behavioral & Mental Health Consultant LLC

  • Psychiatry Physician
  • Manassas, VA
National Provider Identifier
1184358624
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
P. OTAIGBE BEHAVIORAL & MENTAL HEALTH CONSULTANT LLC
Practice address
7722 Visionary CT
Manassas, VA 20112-7533
Phone
(703) 216-6621
Fax
(571) 730-1461
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Mrs. Patience Ahinebade Otaigbe, PSYCHIATRIC MENTALNPI 1811521461
Title
Pmhnp
Phone
(703) 216-6621

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

7722 Visionary CT
Manassas, VA 20112-7533

Mailing address

7722 Visionary CT
Manassas, VA 20112-7533
Phone (703) 216-6621

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mentahealthbehaviora69Gmail.com Health Information Exchange (HIE)

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, 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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1184358624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 VISIONARY CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127533",
            "telephone_number": "703-216-6621",
            "fax_number": "571-730-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7722 VISIONARY CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201127533",
            "telephone_number": "703-216-6621",
            "fax_number": "571-730-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. OTAIGBE BEHAVIORAL & MENTAL HEALTH CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "OTAIGBE",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "AHINEBADE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "703-216-6621",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYCHIATRIC MENTAL"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mentahealthbehaviora69Gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7722 Visionary Ct",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201127533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.