Organization Active NPI

Valley Vista Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1609741438
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VALLEY VISTA PSYCHIATRY LLC
Practice address
11155 Dolfield Blvd Ste 116
Owings Mills, MD 21117-3289
Phone
(202) 644-0856
NPI assigned
Oct 10, 2025
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Jean N Ogu, PMHNP
Title
Ceo
Phone
(202) 644-0856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

11155 Dolfield Blvd Ste 116
Owings Mills, MD 21117-3289

Mailing address

11155 Dolfield Blvd Ste 116
Owings Mills, MD 21117-3289
Phone (120) 264-4085

National Provider Directory

National Provider Directory

Locations

11155 Dolfield Blvd
Ste 116
Owings Mills, MD 21117
Phone (240) 324-8849

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1609741438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD STE 116",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173289",
            "telephone_number": "120-264-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD STE 116",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173289",
            "telephone_number": "202-644-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VISTA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "OGU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-644-0856",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.