Eliane Sandrine Tueche Fankam

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R199673 Issued in MD

Practice address

4401 Saddle Creek Way
Burtonsville, MD 20866-2206

Phone

(301) 385-7756

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Holistic Psychohealth Services LLCGroup PAC ID 8527408764, 4 clinicians

Qci Behavioral Health Consulting Group, LLCGroup PAC ID 3971665969, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Holistic Psychohealth Services LLC

  • Professional Counselor
  • Catonsville, MD
  • NPI 1659900488
  Medicare reassignment Care Compare group NPD
• Qci Behavioral Health Consulting Group, LLC

  • Social Worker
  • Largo, MD
  • NPI 1154598308

  DC

  Medicare reassignment Care Compare group NPD
• Focus Point Solutions LLC

  • Adult Mental Health Clinic/Center
  • Princess Anne, MD
  • NPI 1285213454
  Medicare reassignment NPD
• Focus Point Solutions LLC

  • Adult Mental Health Clinic/Center
  • Salisbury, MD
  • NPI 1194316208
  NPD
• Focus Point Solutions LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Princess Anne, MD
  • NPI 1396697462
  NPD
• Utopia Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenbelt, MD
  • NPI 1770024432
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1629618624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SADDLE CREEK WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662206",
            "telephone_number": "240-360-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SADDLE CREEK WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662206",
            "telephone_number": "301-385-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANKAM",
        "first_name": "ELIANE SANDRINE",
        "middle_name": "TUECHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Evans, DDS
• Excellence Care Rehab&Nursing Services Inc
• Nnenna Joyce Eyiba, RN
• Patrick Ezuma
• Family and Marriage Therapy Center, Inc.
• Karyn Michelle Felder, PHD
• Cathy Fieffe, RN
• First Call Medical Center LLC
• First Chair Dentistry for Pediatrics and Adolescents
• Linda Fonju, FNP

• Psychiatric/Mental Health Nurse Practitioner in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.