MR. DIVINE F. TICHA
NPI 1750649554
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC
About Mr. Divine F. Ticha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DIVINE F. TICHA (NPI 1750649554) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in Maryland (R197963) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Divine F. Ticha is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Divine Ticha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Takoma Park, MD 20912
- Reassigned Medicare billing, District of Columbia enrollment
Columbia, MD 21044
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 200 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Divine Ticha's NPI number?
The NPI number for Divine Ticha is 1750649554. It was assigned to this individual provider in the NPPES registry on April 30, 2012.
Where is Divine Ticha located?
Divine Ticha practices at 1818 New York Ave NE 117 Global Healthcare, Washington, DC 20002. The listed phone number is (202) 480-0813.
What is Divine Ticha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Divine Ticha enrolled in Medicare?
Yes. Divine Ticha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Divine Ticha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Divine Ticha reassigns Medicare benefits to 2 organizations: Alidi Behavioral & Integrated Healthcare Services LLC (Takoma Park, MD) and Psychogeriatric Services LLC (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Divine Ticha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Divine Ticha was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Divine F. Ticha · NPI 1750649554
Psychiatric/Mental Health physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since April 30, 2012.
## Identity
- **NPI:** 1750649554 (Entity type: Individual)
- **Enumerated:** April 30, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R197963 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 NEW YORK AVE NE, 117 GLOBAL HEALTHCARE, Washington, DC 20002
- **Phone:** (202) 480-0813 · **Fax:** (202) 503-2363
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alidi Behavioral & Integrated Healthcare Services LLC (NPI 1336937044, Takoma Park, MD); Psychogeriatric Services LLC (NPI 1588689483, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750649554) · Data from the CMS NPPES public registry.