NPI Code Details Logo

NPI 1205184538

NPI 1205184538 : MATILDA CHE PMHNP : HYATTSVILLE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205184538
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MATILDA CHE PMHNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/16/2012
-----------------------------------------------------
    Last Update Date     |    04/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6475 NEW HAMPSHIRE AVE STE C700 
-----------------------------------------------------
    City                 |    HYATTSVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20783-3269
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-346-3640
-----------------------------------------------------
    Fax                  |    240-823-9997
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6475 NEW HAMPSHIRE AVE STE C700 
-----------------------------------------------------
    City                 |    HYATTSVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20783-3269
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-346-3640
-----------------------------------------------------
    Fax                  |    240-823-9997
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WE0003X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Registered Nurse
-----------------------------------------------------
    License Number       |    R198716
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    NP1042180
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    R198716
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    163WP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
    License Number       |    R198716
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    374U00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Aide
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.