NPIMap

Organization Active NPI

Godaelli Healthcare Services

  • Multi-Specialty Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1801391982
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GODAELLI HEALTHCARE SERVICES
Practice address
1455 Old Bridge Rd Ste 204
Woodbridge, VA 22192-2727
Phone
(703) 870-0738
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Elizabeth Onyejekwe, PMHNPNPI 1275145930
Title
Administrator
Phone
(240) 320-4996

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
Nursing Care Agency 251J00000X HCO-1814 VA
Multi-Specialty Clinic/Center 261QM1300X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1455 Old Bridge Rd Ste 204
Woodbridge, VA 22192-2727

Mailing address

170 Woodstream Blvd
Stafford, VA 22556-4629
Phone (240) 320-4996

Other practice location 1

1549 Old Bridge Rd Ste 303
Woodbridge, VA 22192-2737
Phone (703) 870-0738

Other practice location 2

1701 Fall Hill Ave Ste 111
Fredericksburg, VA 22401-3570
Phone (703) 870-0738

Other practice location 3

2761 Richmond Hwy Ste 101
Stafford, VA 22554-8330
Phone (703) 870-0738

Other practice location 4

170 Woodstream Blvd
Stafford, VA 22556-4629
Phone (240) 320-4996

Other practice location 5

9420 Annapolis Rd Ste 208
Lanham, MD 20706-3062
Phone (240) 320-4996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227000820 VA Part B Supplier - Clinic/Group Practice 0446623268 Receives reassigned benefits from 5 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

9420 Annapolis Rd
Ste 208
Lanham, MD 20706
Phone (240) 320-4996

2761 Richmond Hwy
Ste 101
Stafford, VA 22554
Phone (818) 850-7699

Practitioners & affiliated clinicians

Practitioners 8

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1801391982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WOODSTREAM BLVD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564629",
            "telephone_number": "240-320-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 OLD BRIDGE RD STE 204",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922727",
            "telephone_number": "703-870-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 Old Bridge Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922737",
            "country_code": "US",
            "telephone_number": "703-870-0738",
            "fax_number": "540-783-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Fall Hill Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013570",
            "country_code": "US",
            "telephone_number": "703-870-0738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2761 Richmond Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548330",
            "country_code": "US",
            "telephone_number": "703-870-0738",
            "fax_number": "540-783-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Woodstream Blvd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225564629",
            "country_code": "US",
            "telephone_number": "240-320-4996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9420 Annapolis Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063062",
            "country_code": "US",
            "telephone_number": "240-320-4996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GODAELLI HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "ONYEJEKWE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-320-4996",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "HCO-1814",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.