Individual provider Active NPI

Berthe Chagang, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1336686641
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R227027 Issued in MD
Practice address
9712 Belair Rd Ste 200-202
Nottingham, MD 21236-1103
Phone
(410) 513-7577
Fax
(410) 497-5613
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R227027 MD Primary

Addresses

Primary practice location

9712 Belair Rd Ste 200-202
Nottingham, MD 21236-1103

Mailing address

9712 Belair Rd Ste 200
Nottingham, MD 21236-1112
Phone (410) 513-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170626000887 DC Practitioner - Nurse Practitioner 7517235070 Reassigns benefits to 2 organizations
I20170626001028 MD Practitioner - Nurse Practitioner 7517235070 Reassigns benefits to 4 organizations
I20251113000096 MA Practitioner - Nurse Practitioner 7517235070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Devoted Healthcare ServicesGroup PAC ID 0345677407, 2 clinicians

Practice addresses (Care Compare)

76 Summer St
Suite 200a
Fitchburg, MA 01420-5707
Phone (410) 513-7577

9712 Belair Rd
Suite 200
Nottingham, MD 21236-1112
Phone (443) 494-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Equilibrium Health LLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Devoted Healthcare Services Psychiatric/Mental Health CurrentSince Jan 2, 2020 Accepting new patients
Della Behavioral Health Services CurrentSince Jun 15, 2017 Accepting new patients
Care Now Clinic LLC CurrentSince Dec 27, 2019 Accepting new patients
Centers for Behavioral Health, LLC PastSince Jan 18, 2020 Accepting new patients
Cynthia Voelz PastSince Oct 2, 2019 Accepting new patients

Locations

76 Summer St
Ste 200A
Fitchburg, MA 01420
Phone (410) 513-7577

175 Harry S Truman Pkwy
#J
Annapolis, MD 21401
Phone (443) 481-5400

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

1645 Ridgely St
Ste 100
Baltimore, MD 21230
Phone (301) 251-4702

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

7067 Columbia Gateway Dr
Ste 180
Columbia, MD 21046
Phone (410) 925-7225

9318 Gaither Rd
Ste 245
Gaithersburg, MD 20877
Phone (301) 367-1533

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

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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1336686641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGANG",
        "first_name": "BERTHE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R227027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.