Individual provider Active NPI

Winifred Melinda Kargbo

  • Psychiatric/Mental Health Nurse Practitioner
  • Largo, MD
National Provider Identifier
1982302931
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R170645 Issued in MD
Practice address
Asten Behavioral Health
9500 Medical Center Drive Ste 270
Largo, MD 20774
Phone
(240) 605-2479
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 R170645 MD Primary

Addresses

Primary practice location

Asten Behavioral Health
9500 Medical Center Drive Ste 270
Largo, MD 20774

Mailing address

11079 Poundberry Camp PL
Waldorf, MD 20603-5515
Phone (703) 627-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250430001598 VA Practitioner - Nurse Practitioner 8426578493 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC CurrentSince Mar 1, 2025 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

1660 L St NW
Ste 430
Washington, DC 20036
Phone (202) 677-3302

1831 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 268-9400

921 E Fort Ave
Ste 100
Baltimore, MD 21230
Phone (410) 727-0556

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Organizations & group practices 2

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1982302931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11079 POUNDBERRY CAMP PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035515",
            "telephone_number": "703-627-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASTEN BEHAVIORAL HEALTH",
            "address_2": "9500 MEDICAL CENTER DRIVE STE 270",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "240-605-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGBO",
        "first_name": "WINIFRED",
        "middle_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R170645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.