Organization Active NPI

Veni Vidi Vici Treatment Services, LLC.

  • Addiction Medicine (Family Medicine) Physician
  • Bel Air, MD
National Provider Identifier
1285208710
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
VENI VIDI VICI TREATMENT SERVICES, LLC.
Practice address
4B North Ave Ste 302
Bel Air, MD 21014-2304
Phone
(443) 819-3172
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VENI VIDI VICI TREATMENT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Anastasia Obrien
Title
Ceo
Phone
(443) 819-3172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

4B North Ave Ste 302
Bel Air, MD 21014-2304

Mailing address

4B North Ave Ste 302
Bel Air, MD 21014-2304
Phone (443) 819-3172

National Provider Directory

National Provider Directory
Tax ID family
Veni Vidi Vici TRMT SVC LLC6 organizations share this tax ID, including this one
Part of
Veni Vidi Vici TRMT SVC LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1285208710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4B NORTH AVE STE 302",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142304",
            "telephone_number": "443-819-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4B NORTH AVE STE 302",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142304",
            "telephone_number": "443-819-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENI VIDI VICI TREATMENT SERVICES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VENI VIDI VICI TREATMENT SERVICES",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-819-3172"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.