NPIMap

Organization Active NPI

Nik Jefferson Ooi, LLC

Doing business as Randolph Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
National Provider Identifier
1770267684
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NIK JEFFERSON OOI, LLC
Doing business as
Randolph Clinic, LLC
Practice address
3901 Randolph Rd
Silver Spring, MD 20902-1052
Phone
(301) 949-4994
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Nik Jefferson Ooi, AGNP, PMHNPNPI 1215587365
Title
Partner
Phone
(434) 409-7543

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3901 Randolph Rd
Silver Spring, MD 20902-1052

Mailing address

3901 Randolph Rd
Silver Spring, MD 20902-1052

Other names 1

  • Randolph Clinic, LLC Doing business as

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": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1770267684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RANDOLPH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RANDOLPH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021052",
            "telephone_number": "301-949-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIK JEFFERSON OOI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "OOI",
        "authorized_official_first_name": "NIK",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "434-409-7543",
        "authorized_official_credential": "AGNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.