Genesis Psychiatric Solutions

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GENESIS PSYCHIATRIC SOLUTIONS

Practice address

10337A Democracy LN
Fairfax, VA 22030-2521

Phone

(703) 955-0915

NPI assigned

Sep 12, 2021

Organization subpart

No

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

Authorized official

Name

Willa Weeks

Title

Administrator

Phone

(571) 409-2332

Specialties & licenses 1

Addresses

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
  NPD

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1760151732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10337A DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10337A DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302521",
            "telephone_number": "703-955-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PSYCHIATRIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "WILLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-409-2332"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Geller, MD
• Enkhjargal Gendenjamts
• Edom Endale Genemo, MD
• General Internal Medicine Group
• General Medical Clinic, Inc.
• Genesis TMS & Wellness LLC
• Genetix Iq Inc
• Margaret Gennaro, M.D.
• Genoa Healthcare LLC
• Genoa Healthcare LLC

• Psychiatry Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.