Tida Healthcare LLC
NPI 1629768775 · Psychiatry Physician · Crofton, MD
Tida Healthcare LLC is a Psychiatry Physician organization in Crofton, MD (NPI 1629768775).
Provider details
- NPI number
- 1629768775
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ida Konchou, Pmhnp(240) 305-7446
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Addiction Psychiatry Physician2084P0802X
Allopathic & Osteopathic Physicians
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-05-11
- Certified
- 2023-05-01
Frequently asked questions
- What is Tida Healthcare LLC's NPI number?
- Tida Healthcare LLC's National Provider Identifier (NPI) is 1629768775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tida Healthcare LLC?
- Tida Healthcare LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Tida Healthcare LLC located?
- Tida Healthcare LLC's practice location on file with NPPES is 2209 Montauk Dr, Crofton, MD 21114-3245.
- What is Tida Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Tida Healthcare LLC is (240) 305-7446.
- Who is the authorized official for Tida Healthcare LLC?
- The authorized official listed on Tida Healthcare LLC's NPPES record is Ida Konchou, Pmhnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tida Healthcare LLC's NPI active?
- Yes — Tida Healthcare LLC's NPI (1629768775) is active in the NPPES registry as of the last update on 2023-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.