Healthspan Comprehensive Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEALTHSPAN COMPREHENSIVE HEALTH

Practice address

5502 Edmondson Ave
Baltimore, MD 21229-2220

Phone

(410) 988-4418

NPI assigned

Jan 19, 2026

Organization subpart

No

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

Authorized official

Name

Peterson Nguyen, PMHNP, CRNPNPI 1619479797

Title

Owner

Phone

(410) 988-4418

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peterson Nguyen, PMHNP-BC, CRNA

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1619479797

  Adult Health

  NPD Authorized official

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1013876879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380B MONTGOMERY RD # 1051",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292220",
            "telephone_number": "410-988-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN COMPREHENSIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-988-4418",
        "authorized_official_credential": "PMHNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthier Minds, LLC
• Healthlink, Inc
• Healthlink360.Ai
• Healthscape Elizabeth Thomas MBR
• Healthsource Distributors, LLC
• Healthwise
• Healthx3 LLC
• Healthy Chatter Inc
• Healthy Dental of Baltimore LLC
• Healthy Dental of Eastern Avenue LLC

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 Jun 17, 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.