Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Divine F. Ticha

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750649554

Mr. Divine F. Ticha is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2021, 5 years ago. Practices with Psychogeriatric Services LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2012
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Practice location Address checks out

1818 New York Ave NE 117 Global Healthcare
Washington, DC 20002
Phone: (202) 480-0813
Fax: (202) 503-2363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R197963 (MD)

Record details

NPI number1750649554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2012
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Psychogeriatric Services Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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