NPIMap

Organization Active NPI

Devoted Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1245889583
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DEVOTED HEALTHCARE SERVICES
Practice address
9712 Belair Rd Ste 200
Nottingham, MD 21236-1112
Phone
(410) 513-7577
Fax
(410) 497-5613
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Authorized official

Name
Berthe ChagangNPI 1336686641
Title
Nurse Practioner
Phone
(973) 847-8535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9712 Belair Rd Ste 200
Nottingham, MD 21236-1112

Mailing address

9712 Belair Rd Ste 200-202
Nottingham, MD 21236-1103
Phone (410) 513-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200302001273 MD Part B Supplier - Clinic/Group Practice 0345677407 Receives reassigned benefits from 2 practitioners
Practice locations: Nottingham, MD
O20251112000794 MA Part B Supplier - Clinic/Group Practice 0345677407 Receives reassigned benefits from 1 practitioner
Practice locations: Fitchburg, MA

National Provider Directory

National Provider Directory

Locations

9712 Belair Rd
Ste 200202
Nottingham, MD 21236
Phone (410) 513-7577

9712 Belair Rd
Ste 200
Nottingham, MD 21236
Phone (410) 513-7577

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639180800000",
    "number": "1245889583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 200-202",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361103",
            "telephone_number": "410-513-7577",
            "fax_number": "410-497-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BELAIR RD STE 200",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361112",
            "telephone_number": "410-513-7577",
            "fax_number": "410-497-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A",
        "authorized_official_last_name": "CHAGANG",
        "authorized_official_first_name": "BERTHE",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "973-847-8535"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.