Organization Active NPI

Millennium Ventures Corporation

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Largo, MD
National Provider Identifier
1255245528
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
Legal business name
MILLENNIUM VENTURES CORPORATION
Practice address
9500 Medical Center Dr Ste 350
Largo, MD 20774-3715
Phone
(240) 247-2201
Fax
(240) 525-0892
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Bernadine Nkiru Eburuoh, PMHNPNPI 1508394552
Title
Director
Phone
(301) 655-7455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X NU Primary

Addresses

Primary practice location

9500 Medical Center Dr Ste 350
Largo, MD 20774-3715

Mailing address

9500 Medical Center Dr Ste 350
Largo, MD 20774-3715
Phone (240) 247-2201

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": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1255245528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 350",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743715",
            "telephone_number": "240-247-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 350",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743715",
            "telephone_number": "240-247-2201",
            "fax_number": "240-525-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM VENTURES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "EBURUOH",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_middle_name": "NKIRU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-655-7455",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.