Healthcare Provider Details

I. General information

NPI: 1699691220
Provider Name (Legal Business Name): OXFORD BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 K ST NW
WASHINGTON DC
20001-5690
US

IV. Provider business mailing address

145 FLEET ST # 387
OXON HILL MD
20745-1548
US

V. Phone/Fax

Practice location:
  • Phone: 202-630-7523
  • Fax:
Mailing address:
  • Phone: 202-630-7523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. JERMAINE WYATT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LICSW
Phone: 202-630-7523