TIDA HEALTHCARE LLC
NPI 1629768775
Psychiatry & Neurology - Psychiatry in Crofton, MD

Active since May 11, 2023
2209 MONTAUK DR, CROFTON, MD 21114(240) 305-7446 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tida Healthcare Llc NPPES

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

TIDA HEALTHCARE LLC (NPI 1629768775) is a healthcare organization registered as a psychiatry in Crofton, Maryland and active in the NPI registry since May 2023. The organization lists Ida Mabelle Konchou, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1629768775
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTIDA HEALTHCARE LLC
Location Address2209 MONTAUK DRCrofton, MD 21114-3245
Mailing Address2209 Montauk DrCrofton, MD 21114-3245 · (240) 305-7446
Organization SubpartNo
Authorized OfficialIda Mabelle KonchouPmhnp · (240) 305-7446
Enumeration DateMay 11, 2023
NPPES CertifiedMay 1, 2023
NPI 1629768775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
2209 MONTAUK DR, Crofton, MD 21114

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
2209 MONTAUK DR
CROFTON, MD 21114

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 Tida Healthcare LLC's NPI number?

The NPI number for Tida Healthcare LLC is 1629768775. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Tida Healthcare LLC located?

Tida Healthcare LLC is located at 2209 Montauk Dr, Crofton, MD 21114. The listed phone number is (240) 305-7446.

What is Tida Healthcare LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Tida Healthcare LLC was last updated on May 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.