Stephane Tsague Ganhym

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN1041475 Issued in DC

Practice address

2759 Martin Luther King Jr Ave SE Ste 301
Washington, DC 20032-2651

Phone

(202) 827-9961

Fax

(202) 827-9963

NPI assigned

Sep 29, 2020

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Minds First Behavioral Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cooksville, MD
  • NPI 1710753025

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• New Hope Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1437628914
  Medicare reassignment NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1073120572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 FIRE ROCK RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241990",
            "telephone_number": "240-601-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322651",
            "telephone_number": "202-827-9961",
            "fax_number": "202-827-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANHYM",
        "first_name": "STEPHANE",
        "middle_name": "TSAGUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "RN223730",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1041475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "address_1": "2759 Martin Luther King Jr Ave SE Ste 301",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200322651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sachin Gangele, MD
• Mounika Gangireddy
• Anirban Ganguli, MD
• Shreya Gangwani, BCBA
• Nelly Stella Sena Ganhe
• Sarah Ganji, MD
• Nakul Ganju, MD
• Courtney H Gann, CRNP-F
• Jacqueline Gannuscio, ACNP
• Anita R Gans

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.