Individual provider Active NPI

Emee Ta, MD

  • Psychiatry Physician
  • Chevy Chase, MD
National Provider Identifier
1033646534
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0091550 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1275
Chevy Chase, MD 20815-6933
Phone
(240) 743-4535
Fax
(240) 483-0862
NPI assigned
May 15, 2017
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101271760 VA
Psychiatry Physician 2084P0800X MD049018 DC
Psychiatry Physician 2084P0800X 7044420 WI
Psychiatry Physician 2084P0800X D0091550 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1275
Chevy Chase, MD 20815-6933

Mailing address

5454 Wisconsin Ave Ste 1275
Chevy Chase, MD 20815-6933

Other practice location 1

800 21st St NW
Washington, DC 20052-0001
Phone (202) 994-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 17, 2021 through Nov 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD049018DCMDPsychiatry Physician
D0091550MDMDPsychiatry Physician
0101271760VAMDPsychiatry Physician
7044420WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Mental Health Psychiatry CurrentSince Dec 21, 2021 Accepting new patients

Locations

5454 Wisconsin Ave
Ste 1275
Chevy Chase, MD 20815
Phone (240) 743-4535

Interoperability endpoints

  • Direct secure messaging: emee.ta.1@24224.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24224/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1033646534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1275",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1275",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156933",
            "telephone_number": "240-743-4535",
            "fax_number": "240-483-0862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 21st St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200520001",
            "country_code": "US",
            "telephone_number": "202-994-5300",
            "fax_number": "202-994-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TA",
        "first_name": "EMEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101271760",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD049018",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "7044420",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0091550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.