Individual provider Active NPI

Ifeyinwa Okafor, PMHNP

  • Psychiatry Physician
  • Camp Springs, MD
National Provider Identifier
1285236539
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R210838 Issued in MD
Practice address
5627 Allentown Rd Ste 100
Camp Springs, MD 20746-4520
Phone
(301) 241-0255
Fax
(240) 455-0247
NPI assigned
Nov 11, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R210838 MD Primary

Addresses

Primary practice location

5627 Allentown Rd Ste 100
Camp Springs, MD 20746-4520

Mailing address

9722 Natalie Dr
Upper Marlboro, MD 20772-4340
Phone (240) 606-3657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413000879 DC Practitioner - Nurse Practitioner 9436567484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Upper Marlboro, MD 20772
Phone (240) 448-7242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
King of Glory Healthcare CurrentSince Apr 1, 2025 Accepting new patients
Changing Lives Adult & Youth Services CurrentSince Apr 3, 2025 Accepting new patients

Locations

4810 Saint Barnabas Rd
Ste 203
Temple Hills, MD 20748
Phone (301) 541-0963

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1285236539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 NATALIE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724340",
            "telephone_number": "240-606-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 ALLENTOWN RD STE 100",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464520",
            "telephone_number": "301-241-0255",
            "fax_number": "240-455-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "IFEYINWA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R210838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

Verify at the official NPI Registry.