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ERTA BEHAVIORAL HEALTH, LLC
NPI 1487284816
Nurse Practitioner - Psychiatric/Mental Health in Lanham, MD

Active since January 24, 2020
7400 WILHELM DR, LANHAM, MD 20706(240) 501-2710 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, Jan 24, 2020 (2 updates tracked since 2020).

About Erta Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERTA BEHAVIORAL HEALTH, LLC (NPI 1487284816) is a healthcare organization registered as a psychiatric/mental health in Lanham, Maryland and active in the NPI registry since January 2020. The organization lists Jon Kogan, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1487284816
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameERTA BEHAVIORAL HEALTH, LLC
Location Address7400 WILHELM DRLanham, MD 20706-3725
Mailing Address7400 Wilhelm DrLanham, MD 20706-3725 · (240) 501-2710
Phone(240) 501-2710
Organization SubpartNo
Authorized OfficialJon KoganDelegated Official · (443) 253-5533
Enumeration DateJanuary 24, 2020
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1487284816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
7400 WILHELM DR, Lanham, MD 20706
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENATA BEBONGNCHU NKEZE NP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
7400 WILHELM DR
LANHAM, MD 20706
Prince George's County (240) 706-6554
FNU NZEFEH NDOLE MUALU
Home Health Aide
7400 WILHELM DR
LANHAM, MD 20706
Prince George's County (443) 538-5139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erta Behavioral Health, LLC's NPI number?

The NPI number for Erta Behavioral Health, LLC is 1487284816. It was assigned to this organization in the NPPES registry on January 24, 2020.

Where is Erta Behavioral Health, LLC located?

Erta Behavioral Health, LLC is located at 7400 Wilhelm Dr, Lanham, MD 20706. The listed phone number is (240) 501-2710.

What is Erta Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Erta Behavioral Health, LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.