Healthcare Provider Details

I. General information

NPI: 1952223976
Provider Name (Legal Business Name): BN PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE S
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

4500 S FOUR MILE RUN DR APT 319
ARLINGTON VA
22204-3560
US

V. Phone/Fax

Practice location:
  • Phone: 202-813-9680
  • Fax:
Mailing address:
  • Phone: 215-939-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BLESSING KELECHI NDUKA
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 215-939-6154