Genesis TMS & Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GENESIS TMS & WELLNESS LLC

Practice address

10337B Democracy LN
Fairfax, VA 22030-2521

Phone

(703) 955-0915

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ifeanyi M. Olele, DONPI 1194132407

Title

Medical Director

Phone

(310) 213-9945

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Ifeanyi Michael Olele, D.O

  • Psychiatry Physician
  • Fairfax, VA
  • NPI 1194132407

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1609545003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10337 DEMOCRACY LN STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302551",
            "telephone_number": "703-955-0915",
            "fax_number": "248-243-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10337B DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302521",
            "telephone_number": "703-955-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS TMS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-07-27",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "OLELE",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-213-9945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enkhjargal Gendenjamts
• Edom Endale Genemo, MD
• General Internal Medicine Group
• General Medical Clinic, Inc.
• Genesis Psychiatric Solutions
• Genetix Iq Inc
• Margaret Gennaro, M.D.
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Marisa Gentile

• Adult Mental Health Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.