Tranquil Haven LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

TRANQUIL HAVEN LLC

Practice address

4118 Illinois Ave NW
Washington, DC 20011-5950

Phone

(202) 349-8471

NPI assigned

Mar 25, 2026

Organization subpart

No

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

Authorized official

Name

Tamara JacksonNPI 1104314343

Title

Owner

Phone

(202) 349-8471

Specialties & licenses 1

Addresses

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.

• Tamara Jackson, PHD

  • Psychologist
  • Washington, DC
  • NPI 1104314343
  NPD Authorized official

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1477492783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 ILLINOIS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115950",
            "telephone_number": "202-349-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 ILLINOIS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115950",
            "telephone_number": "202-349-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-349-8471"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Washington, DC
• Providers in Washington, DC by specialty
• Point of Service in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.