Madjou Stella Ngantche, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R212256 Issued in MD

Practice address

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142

Phone

(518) 542-2851

NPI assigned

Jun 2, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1972127231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WISCONSIN AVE APT 1116",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143159",
            "telephone_number": "518-542-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "518-542-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGANTCHE",
        "first_name": "MADJOU",
        "middle_name": "STELLA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Netvex LLC
• Neurodipity LLC
• New Day Health Systems Inc
• New Day Health Systems, Inc.
• Alyssa Raquel Newton, M.D.
• Thanh Tam Nguyen-Louie, PHD
• NH BV Catonsville Tenant, LLC
• Deborah J Nicholson, M.D.
• John Laws Nickins Jr., DDS
• David Andrew Nieman, MS

• Psychiatric/Mental Health Nurse Practitioner in Catonsville, MD
• Providers in Catonsville, 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 Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.