NPIMap

Organization Active NPI

Affect Optimum Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
National Provider Identifier
1841840733
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
AFFECT OPTIMUM BEHAVIORAL HEALTH, LLC
Practice address
1818 New York Ave NE Ste 215
Washington, DC 20002-1849
Phone
(301) 332-7222
NPI assigned
Sep 13, 2019
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFECT OPTIMUM BEHAVIORAL HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dr. Ngozi Maryann Okudoh, DNP, PHMNP-B, FNP-BCNPI 1588118095
Title
President
Phone
(301) 332-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1818 New York Ave NE Ste 215
Washington, DC 20002-1849

Mailing address

1818 New York Ave NE Ste 215
Washington, DC 20002-1849
Phone (301) 332-7222

Other practice location 1

9470 Annapolis Rd Ste 107
Lanham, MD 20706-3088
Phone (301) 577-9111

National Provider Directory

National Provider Directory
Part of
Affect Optimum Behavioral Health LLC

Locations

9470 Annapolis Rd
Ste 107
Lanham, MD 20706
Phone (301) 459-1691

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1841840733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021849",
            "telephone_number": "301-332-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 215",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021849",
            "telephone_number": "301-332-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9470 Annapolis Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063088",
            "country_code": "US",
            "telephone_number": "301-577-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFECT OPTIMUM BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFECT OPTIMUM BEHAVIORAL HEALTH LLC",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "OKUDOH",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "MARYANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-332-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PHMNP-B, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 29, 2020; 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.