Organization Active NPI

Voltaire Behavioral Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1750908034
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VOLTAIRE BEHAVIORAL HEALTH AND WELLNESS, LLC
Practice address
1200 G St NW Ste 800
Washington, DC 20005-6705
Phone
(202) 743-1955
Fax
(773) 373-0296
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Mrs. Marlaine Registe, NURSE PRACTITIONERNPI 1669768578
Title
Ceo
Phone
(850) 544-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1200 G St NW Ste 800
Washington, DC 20005-6705

Mailing address

6806 Ruskin St
Springfield, VA 22150-2041
Phone (850) 544-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240929000030 NM Part B Supplier - Clinic/Group Practice 2668882259 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1750908034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 RUSKIN ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502041",
            "telephone_number": "850-544-1414",
            "fax_number": "773-373-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 G ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200056705",
            "telephone_number": "202-743-1955",
            "fax_number": "773-373-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLTAIRE BEHAVIORAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "REGISTE",
        "authorized_official_first_name": "MARLAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-544-1414",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.