Greater Bay Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GREATER BAY WELLNESS LLC

Practice address

20 Pleasant Ridge Dr Ste G
Owings Mills, MD 21117-2560

Phone

(443) 774-9691

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Medina, NP

Title

Psych NP

Phone

(443) 774-9691

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1003713199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE G",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "443-774-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR STE G",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "443-774-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BAY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PSYCH NP",
        "authorized_official_telephone_number": "443-774-9691",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Baltimore Medical Center, Inc. (GBMC at Crossroads Drive)
• Greater Baltimore Medical Center, Inc. (GBMC Physical Therapy at Owings Mills)
• Greater Baltimore Medical Center, Inc. (Family Care at Owings Mills)
• Greater Baltimore Medical Center, Inc. (GBMC Oncology at Owings Mills)
• Greater Baltimore Medical Center, Inc. (GBMC, Inc.-Infectious Disease)
• Marsha Greaves
• Mark R. Grebosky, DMD
• Laura Green
• Sherise Green
• Damien Greene

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.