Organization Active NPI

Dr. O & Okundaye, LLC

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1801468053
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DR. O & OKUNDAYE, LLC
Practice address
9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666
Phone
(301) 802-1140
Fax
(301) 574-0858
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Dr. Joshua Okundaye, PH.D, LCSW-C, LICSWNPI 1013072909
Title
Clinical Director
Phone
(301) 802-1140

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666

Mailing address

9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666
Phone (301) 802-1140

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": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1801468053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 MARLBORO PIKE STE 201",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723666",
            "telephone_number": "301-802-1140",
            "fax_number": "301-574-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 MARLBORO PIKE STE 201",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723666",
            "telephone_number": "301-802-1140",
            "fax_number": "301-574-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. O & OKUNDAYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "OKUNDAYE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-802-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.