NPIMap

Organization Active NPI

Veni Vidi Vici Treatment Services, LLC.

  • Methadone Clinic
  • Bel Air, MD
National Provider Identifier
1386128387
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
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
Sep 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Anastasia O'Brien
Title
Owner
Phone
(443) 819-3172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since Jul 23, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191206001988 MD Part B Supplier - Opioid Treatment Program (Otp) 3870926769 Practice locations: Bel Air, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

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

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1386128387",
    "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": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-819-3172"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.