Ngozi Maryann Okudoh, DNP, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R160275 Issued in MD

Practice address

1818 New York Ave NE Ste 215
Washington, DC 20002-1849

Phone

(301) 332-7222

NPI assigned

Aug 12, 2016

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Affect Optimum Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1841840733
  Authorized official Same address or phone
• 11714 Tuscany Drive

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Laurel, MD
  • NPI 1386879955
  Authorized official Same address or phone

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1588118095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11714 TUSCANY DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082841",
            "telephone_number": "301-332-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021849",
            "telephone_number": "301-332-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Fitzpatrick Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207073210",
            "country_code": "US",
            "telephone_number": "301-332-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9470 Annapolis Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063031",
            "country_code": "US",
            "telephone_number": "301-577-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUDOH",
        "first_name": "NGOZI",
        "middle_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1004337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R160275",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R160275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Agu Okpa
• Martin Joseph Okpala, DDS
• Ndidiamaka Okpala, CNA ,HHA,BHT
• Michael Othuke Okpolokpo, RN
• Aniekan Okpongete
• Afi Okui
• Catherine Okuliar
• Adedoyin Okunade
• Ayodele Daniel Okunade
• Kehinde Okunade

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.