Organization Active NPI

Visionary Medical & Mental Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Marlboro, MD
National Provider Identifier
1952102808
Registry record updated Mar 24, 2025
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
VISIONARY MEDICAL & MENTAL HEALTHCARE, INC.
Practice address
5301 Pattingham CT Uppr
Upper Marlboro, MD 20772-2990
Phone
(301) 404-0355
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Ifeoma Onyeiwu
Title
Provider
Phone
(301) 404-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5301 Pattingham CT Uppr
Upper Marlboro, MD 20772-2990

Mailing address

5301 Pattingham CT Uppr
Upper Marlboro, MD 20772-2990
Phone (301) 404-0355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260223000659 DC Part B Supplier - Clinic/Group Practice 0345721965 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Upper Marlboro, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Visionary Medical Mental Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1952102808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 PATTINGHAM CT UPPR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722990",
            "telephone_number": "301-404-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 PATTINGHAM CT UPPR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722990",
            "telephone_number": "301-404-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY MEDICAL & MENTAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "ONYEIWU",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-404-0355"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Mar 24, 2025; 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.