Ifeanyi Michael Olele, D.O

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0102204914 Issued in VA

Practice address

10339 Democracy LN Ste a
Fairfax, VA 22030-2521

Phone

(301) 485-6468

Fax

(703) 955-0915

NPI assigned

Jul 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis TMS & Wellness LLC

  • Adult Mental Health Clinic/Center
  • Fairfax, VA
  • NPI 1609545003

  DC

  Medicare reassignment Authorized official
• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1699012930

  DC

  Medicare reassignment NPD
• Center for Behavioral Health and Wellness, LLC

  • Psychiatry Physician
  • Ellicott City, MD
  • NPI 1437822319
  Medicare reassignment NPD
• Genesis Psychiatric Solutions

  • Psychiatry Physician
  • Fairfax, VA
  • NPI 1760151732
  NPD

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1194132407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10339 DEMOCRACY LN STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302521",
            "telephone_number": "301-485-6468",
            "fax_number": "248-243-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 DEMOCRACY LN STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302521",
            "telephone_number": "301-485-6468",
            "fax_number": "703-955-0915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Washington St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223141535",
            "country_code": "US",
            "telephone_number": "301-485-6468",
            "fax_number": "703-955-0915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 7th St NW Ste 405",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200042208",
            "country_code": "US",
            "telephone_number": "703-955-0915",
            "fax_number": "703-955-0915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLELE",
        "first_name": "IFEANYI",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "18966",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "DO034697",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS13869",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "H0085983",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102204914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ugochi Okoroafor-Ridgway, MD
• Vickie Okoye, M.S.W.
• Yaa Gyamfua Okrah
• Christiana O Olabanji
• Old Dominion Home Care,Inc.
• Julian Oley
• Jaqueline Oliveira Baroni, LMHC, LPC
• Emily Oliver
• Kathryn Oliver, FNP-BC
• Patrick J Oliverio, MD

• Psychiatry Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.