Quinta Eni Tangoh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0028516 Issued in OH

Practice address

26401 Emery Rd Ste 108
Warrensville Heights, OH 44128-6210

Phone

(440) 520-1831

NPI assigned

Mar 5, 2021

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 OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: newvisionhealth&wellness.quintatangoh@158145.advancedmd-direct.com

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.

• KC Center for Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1669989703

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Renaissance Behavioral Health LLC

  • Psychiatry Physician
  • Cleveland, OH
  • NPI 1689251845
  Medicare reassignment NPD
• Anchorpoint Mental Health and Wellness LLC

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1811821283
  NPD Authorized official
• Anchorpoint Mental Health and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warrensville Heights, OH
  • NPI 1740163856
  NPD
• KC Center for Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
  • NPI 1346883717
  NPD

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1871188367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 SUNSET DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431248",
            "telephone_number": "330-256-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 EMERY RD STE 108",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441286210",
            "telephone_number": "440-520-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3094 W Market St Ste 190",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333617",
            "country_code": "US",
            "telephone_number": "330-595-9929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANGOH",
        "first_name": "QUINTA",
        "middle_name": "ENI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0028516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samica Summers
• Michael Blake Suponcic
• Megan Marie Swaney, OTR
• Maria Luz Tabbakh, M.S.N., C.N.S-BC
• Myesha Cherelle Talley, LPN
• Alexis Tate
• Nichol Tate
• Barbara Taub, OTR/L
• Antoinette Taylor
• Latia Taylor

• Psychiatric/Mental Health Nurse Practitioner in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.