Emmanuel Kamdem-Sango, PSYCHIATRY NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN1048184 Issued in DC

Practice address

4130 Hunt PL NE
Washington, DC 20019-3565

Phone

(202) 388-4300

NPI assigned

Apr 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Plus Behavioral and Primary CareGroup PAC ID 3375930001, 2 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.

• Health Plus Behavioral and Primary Care

  • Community/Behavioral Health Agency
  • Glen Burnie, MD
  • NPI 1578219515
  Medicare reassignment Care Compare group NPD Authorized official
• Claritypoint Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaithersburg, MD
  • NPI 1619828993

  DC

  Medicare reassignment NPD Authorized official
• Mbi Health Services LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1396048070
  Medicare reassignment NPD
• New Hope Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1437628914
  Medicare reassignment NPD
• Health Plus Behavioral and Primary Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1407689698
  NPD (past) Authorized official
• Health Plus Behavioral and Primary Care

  • Rehabilitation Clinic/Center
  • Glen Burnie, MD
  • NPI 1952134157
  NPD (past) Authorized official

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1770080483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 DELAWARE AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613013",
            "telephone_number": "443-354-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 HUNT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193565",
            "telephone_number": "202-388-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "21061",
            "country_code": "US",
            "telephone_number": "443-354-4477",
            "fax_number": "443-354-4666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMDEM-SANGO",
        "first_name": "EMMANUEL",
        "credential": "PSYCHIATRY NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R204324",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1048184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Rachel Kambu Nuentsa
• Colette Kamcheu
• Faisal M Kamdar, MD
• Shivani Kamdar, D.O.
• Patricia Kamdem Metouom
• Edward Kamdem
• Guilene Kamdem
• William Kamdem
• Romance Kamdep
• Patricia Ethel Kamdom Sakepa Epse Nyankam

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.