Individual provider Active NPI

Mabel Boboh Nsagha, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1568727972
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R223180 Issued in MD
Practice address
4200 Parliament PL Ste 430-M9
Lanham, MD 20706-1803
Phone
(240) 245-0791
Fax
(240) 348-8530
NPI assigned
Jul 11, 2012
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 R223180 MD Primary

Addresses

Primary practice location

4200 Parliament PL Ste 430-M9
Lanham, MD 20706-1803

Mailing address

4200 Parliament PL Ste 430-M9
Lanham, MD 20706-1803
Phone (240) 245-0791

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
I20220823002401 MD Practitioner - Nurse Practitioner 3971986076 Reassigns benefits to 1 organization
I20240808004831 DC Practitioner - Nurse Practitioner 3971986076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 9, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 20, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 20, 2022 Accepting new patients
Mays Healthcare Services LLC Psychiatric/Mental Health Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

616 Charles St
Ste 102
La Plata, MD 20646
Phone (301) 609-4974

4200 Parliament Pl
Ste 430
Lanham, MD 20706
Phone (240) 353-5759

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1568727972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PARLIAMENT PL STE 430-M9",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061803",
            "telephone_number": "240-245-0791",
            "fax_number": "240-348-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PARLIAMENT PL STE 430-M9",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061803",
            "telephone_number": "240-245-0791",
            "fax_number": "240-348-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSAGHA",
        "first_name": "MABEL",
        "middle_name": "BOBOH",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.