Fanta H Cabah, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Claymont, DE
NPI 1992571335 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1992571335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- L8-0010535 (DE)
- Practice address
- 650 Naamans Rd Ste 110
Claymont, DE 19703-2301 - Phone
- (302) 224-1400
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mid-Atlantic Behavioral Health, LLC
Practice addresses (Care Compare)
650 Naamans Rd
Suite 110
Claymont, DE 19703-2301
Phone (302) 224-1400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626002108 | DE | Practitioner - Nurse Practitioner | 2961914601 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0033104 | DE | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Behavioral Health, LLC | Current |
Accepting new patients |
Locations
650 Naamans Rd
Ste 110
Claymont, DE 19703
Phone (302) 217-3884
910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614
Interoperability endpoints
- lifestancehealth.fantacabah@148542.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | L1-0033104 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010535 | DE | Yes |
Addresses
Primary practice location
650 Naamans Rd Ste 110
Claymont, DE 19703-2301
Mailing address
650 Naamans Rd Ste 110
Claymont, DE 19703-2301
Phone (302) 224-1400
Other practice location 1
701 N Clayton St
Wilmington, DE 19805-3165
Phone (302) 421-4100
Other practice location 2
950 Campbell Ave
West Haven, CT 06516-2770
Phone (203) 932-5711
Other providers in Claymont, DE
- Darren Michael Brown
- Elizabeth J. Brown
- James Buckley
- Rona Budovitch
- Roberta Burtch
- Henry Cabrera
- Jay Robert Cantor
- Captains Deck, Inc.
- Mary R Caroselli
- Earl Carter
All providers in Claymont, DE · Psychiatric/Mental Health Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.