Individual provider Active NPI

Tsedey Girma Teklu, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1730065889
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R228666 Issued in MD
Practice address
9856 Mainsail Dr
Gaithersburg, MD 20879-1139
Phone
(240) 705-5753
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 R228666 MD Primary

Addresses

Primary practice location

9856 Mainsail Dr
Gaithersburg, MD 20879-1139

Mailing address

9856 Mainsail Dr
Gaithersburg, MD 20879-1139
Phone (240) 705-5753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251205000862 MD Practitioner - Nurse Practitioner 5496248668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Psychiatry LLCGroup PAC ID 4284172701, 4 clinicians

Practice addresses (Care Compare)

10451 Mill Run Cir
Suite 400
Owings Mills, MD 21117-5594
Phone (301) 500-9490

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R228666MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Psychiatry LLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

10451 Mill Run Cir
Ste 400
Owings Mills, MD 21117
Phone (443) 219-8482

Organizations & group practices 1

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": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1730065889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 MAINSAIL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791139",
            "telephone_number": "240-705-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 MAINSAIL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791139",
            "telephone_number": "240-705-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLU",
        "first_name": "TSEDEY",
        "middle_name": "GIRMA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R228666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.