NPIMap

Organization Active NPI

Mary's Center for Maternal and Child Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
National Provider Identifier
1962520288
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
H80CS04202 Issued in DC
Legal business name
MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC
Practice address
2333 Ontario Rd. NW
Washington, DC 20009-2627
Phone
(202) 483-8196
Fax
(202) 332-0541
NPI assigned
Mar 26, 2007
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Monique Margareta Powell-DavisNPI 1326208265
Title
Chief Medical Officer
Phone
(202) 424-2655

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Dental Clinic/Center 261QD0000X 64001664 DC
Federally Qualified Health Center (FQHC) 261QF0400X H80CS04202 DC Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 64001664 DC
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NU
Obstetrics Physician 207VX0000X NU

Addresses

Primary practice location

2333 Ontario Rd. NW
Washington, DC 20009-2627

Mailing address

2333 Ontario Rd, NW
Washington, DC 20009-2627
Phone (202) 483-8196

Other identifiers 3

IdentifierTypeStateIssuer
037536500MedicaidDC
411949500MedicaidMD
037564900MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040609000873 DC Part B Supplier - Clinic/Group Practice 5092798298 Receives reassigned benefits from 179 practitioners
5 other NPIs on this enrollment
Practice locations: Washington, DC; Silver Spring, MD; Adelphi, MD
O20120314000032 MD Part A Provider - Federally Qualified Health Center (FQHC) 5092798298 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Adelphi, MD
O20120425000465 DC Part A Provider - Federally Qualified Health Center (FQHC) 5092798298 Practice locations: Washington, DC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1962520288. Details of each certification follow.

Federally qualified health center certification: CCN 211888

Legal name
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 15, 2012
Last certification
Mar 15, 2012
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Oct 20, 1988 in DC
Enrollment address
8908 Riggs Rd
Adelphi, MD 20783-1632

Federally qualified health center certification: CCN 091817

Legal name
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 29, 2005
Last certification
Jul 29, 2005
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 20, 1988 in DC
Enrollment address
2333 Ontario Rd NW
Washington, DC 20009-2627

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy Ban Individual Corporate OfficerChief Executive Officer Jun 2, 2025
W-2 Managing EmployeeAd; Jun 2, 2025
Andrea L Gilliam Individual Corporate DirectorBoard Member May 1, 2010
John Kaelin Individual Corporate OfficerBoard Member Aug 1, 2008
Matthew S Klinger Individual Corporate OfficerBoard Member Sep 1, 2011
Luis Guardia Individual Corporate DirectorBoard Member Jul 1, 2008
Davekumar Chandrasekaran Individual Corporate DirectorBoard Member Nov 19, 2012
Ana Molina Individual Corporate OfficerBoard Member Nov 1, 2010
Edward Mariga Individual Corporate OfficerBoard Member Sep 1, 2010
Maria L Ortiz Individual Corporate OfficerBoard Member Feb 1, 2010
Nedelka T Phillips Individual Corporate OfficerBoard Member May 1, 2012
Bonita D Wilson Individual Corporate DirectorBoard Member Oct 15, 2012
Julie Martinez Individual Corporate OfficerBoard Member Feb 1, 2008
Donald Bean Individual Corporate DirectorBoard Member Nov 19, 2012
Mary B McPherson Individual Corporate OfficerBoard Member Jan 1, 2005
Liliam X Turcios Individual Corporate OfficerBoard Member Nov 1, 2010
Alejandra Ceja Individual Corporate DirectorBoard Member Jul 1, 2007
Nina Albert Individual Corporate DirectorBoard Member Oct 15, 2012

Practitioners & affiliated clinicians

Practitioners 192

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.

View all 192

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1962520288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 ONTARIO RD, NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092627",
            "telephone_number": "202-483-8196",
            "fax_number": "202-545-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 ONTARIO RD. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092627",
            "telephone_number": "202-483-8196",
            "fax_number": "202-332-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "POWELL-DAVIS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "MARGARETA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "202-424-2655"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "64001664",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "DC",
            "license": "H80CS04202",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "64001664",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037536500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411949500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037564900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.