Individual provider Active NPI

Josephine Gang, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Beltsville, MD
National Provider Identifier
1831804350
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R223583 Issued in MD
Practice address
4061 Powder Mill Rd Ste 400-1
Beltsville, MD 20705-3149
Phone
(301) 502-6460
Fax
(608) 305-8787
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 R223583 MD Primary

Addresses

Primary practice location

4061 Powder Mill Rd Ste 400-1
Beltsville, MD 20705-3149

Mailing address

4061 Powder Mill Rd Ste 400-1
Beltsville, MD 20705-3149
Phone (301) 502-6460

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
I20240612002474 MD Practitioner - Nurse Practitioner 6406201524 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doxa Health and Wellness LLC Psychiatric/Mental Health CurrentSince Aug 26, 2023 Accepting new patients
Magnolia Behavior Health Center LLC CurrentSince Aug 28, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince May 6, 2024 Accepting new patients

Locations

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

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

3455 Wilkens Ave
Ste 101
Baltimore, MD 21229
Phone (240) 919-6062

604 Solarex Ct
Unit 205
Frederick, MD 21703
Phone (240) 919-6062

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

Organizations & group practices 3

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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1831804350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 POWDER MILL RD STE 400-1",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053149",
            "telephone_number": "301-502-6460",
            "fax_number": "608-305-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 POWDER MILL RD STE 400-1",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053149",
            "telephone_number": "301-502-6460",
            "fax_number": "608-305-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANG",
        "first_name": "JOSEPHINE",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

Verify at the official NPI Registry.