Tas Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TAS BEHAVIORAL HEALTH

Practice address

33 W Franklin St Ste 201
Hagerstown, MD 21740-4863

Phone

(240) 599-5177

NPI assigned

May 16, 2023

Last updated

Dec 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda NkongchuNPI 1346505252

Title

Owner of Entity

Phone

(240) 599-5177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Emetah Nkongchu, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1346505252

  MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1144911603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CEDAR REACH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205808",
            "telephone_number": "240-599-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W FRANKLIN ST STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404863",
            "telephone_number": "240-599-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "NKONGCHU",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "240-599-5177"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robel A Tamene, RT, ARRT
• Tammy Sherrard, LLC
• Yong Tang, M.D.
• Lea Angelica Bollozos Tanseco
• Mohammad Tariq, M.D.
• Dara Tash, M.D.
• Nicole Taulton, PT, DPT
• Mary-Lyn P Taylor-Smith, MSCN, LE
• Elizabeth Colleen Taylor
• Jennifer 'Jenna' S Taylor, NCC, LGPC

• Psychiatric/Mental Health Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.