Individual provider Active NPI

Carine Tajocha Amin, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandywine, MD
National Provider Identifier
1518724145
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R230391 Issued in MD
Practice address
6305 Oglethorpe Mill Dr
Brandywine, MD 20613-5693
Phone
(443) 529-2074
NPI assigned
Feb 29, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R230391 MD Primary
Registered Nurse 163W00000X R230391 MD

Addresses

Primary practice location

6305 Oglethorpe Mill Dr
Brandywine, MD 20613-5693

Mailing address

6305 Oglethorpe Mill Dr
Brandywine, MD 20613-5693
Phone (443) 529-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20240528003329 MD Practitioner - Nurse Practitioner 2860834439 Reassigns benefits to 2 organizations
I20240626003122 DC Practitioner - Nurse Practitioner 2860834439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Apr 17, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients
Harmony Mental Health and Wellness LLC PastSince Mar 3, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1518724145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 OGLETHORPE MILL DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135693",
            "telephone_number": "443-529-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 OGLETHORPE MILL DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135693",
            "telephone_number": "443-529-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJOCHA AMIN",
        "first_name": "CARINE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230391",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R230391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

Verify at the official NPI Registry.