Cecelia Siah Tamba, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2021039752 Issued in MD

Practice address

3406 Meadowdale Dr
Windsor Mill, MD 21244-2236

Phone

(667) 678-1048

Fax

(888) 919-4634

NPI assigned

Aug 24, 2021

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• West Pointe Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Windsor Mill, MD
  • NPI 1487373270

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Della Behavioral Health Services

  dba CounterPoint Health Services

  • Psychologist
  • Columbia, MD
  • NPI 1750635207

  DC

  Medicare reassignment NPD
• West Pointe Healthcare LLC

  • In Home Supportive Care Agency
  • Owings Mills, MD
  • NPI 1538937248
  NPD Authorized official

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1184391518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 MEADOWDALE DR",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442236",
            "telephone_number": "240-354-3205",
            "fax_number": "888-919-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 MEADOWDALE DR",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442236",
            "telephone_number": "667-678-1048",
            "fax_number": "888-919-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBA",
        "first_name": "CECELIA",
        "middle_name": "SIAH",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "2021039752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY OFFICE",
            "identifier": "$$$$$$$$$",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stillwaters Consulting
• Jennifer Leo Stine, LCPC
• Victoria Stokes
• Christian Khalia Suggs
• Ayanna V Taaffe
• Ellen Ruth Tannebaum
• Rose Tatum, LGSW
• Mary T Tavakoli, PHARMD
• Tayjari Counseling Services, LLC
• Adam Brandon Taylor

• Psychiatric/Mental Health Nurse Practitioner in Windsor Mill, MD
• Providers in Windsor Mill, 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 Jan 30, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.