NPI 1114463346 · live from the CMS NPI Registry
Justline Tah
Registered Nurse, Psych/Mental Health, Adult in Washington, DC. National Provider Identifier 1114463346, active.
NPI record
| NPI | 1114463346 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 4017 Minnesota Ave Ne, Washington, DC 20019 |
| Practice phone | 202-388-9202 |
| Mailing address | 660 Streford Way, Unit 210, Hyattsville, MD 20785 |
| Enumerated | January 11, 2017 |
| Last updated | May 7, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 500018807 (DC) |
| Case Manager/Care Coordinator | 171M00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.