Del-Mah Medical & Psychiatric Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DEL-MAH MEDICAL & PSYCHIATRIC SERVICES LLC

Practice address

13101 English Turn Dr
Silver Spring, MD 20904-7341

Phone

(301) 807-6957

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Prudence Mancho, CRNP

Title

Owner

Phone

(301) 807-6957

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1104594639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 ENGLISH TURN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047341",
            "telephone_number": "301-807-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 ENGLISH TURN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047341",
            "telephone_number": "301-807-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL-MAH MEDICAL & PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MANCHO",
        "authorized_official_first_name": "PRUDENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-807-6957",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087503348",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Miller Dehof, CRNP
• Tacie Dejanikus, M.S.W.
• Seble Zewde Dejene
• Erin Del Ninno, MD
• Soraya Astrid Del Valle
• James Anthony Del-Vecchio, M.D.
• Sumaiya Delane
• Cynthia H.R. Delaney, LCSW-C
• Samrawit Z Delelegn, RN
• Alexandra Daniela Delgado

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.