Organization Active NPI

A Step to Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Millersville, MD
National Provider Identifier
1043828718
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A STEP TO WELLNESS
Practice address
1110 Benfield Blvd Ste H
Millersville, MD 21108-2644
Phone
(443) 788-9476
Fax
(949) 655-8724
NPI assigned
Jul 20, 2020
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Ms. Stephanie Patricia McDonnaughNPI 1821209677
Title
Aprn, FNP, Pmhnp
Phone
(302) 354-6583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1110 Benfield Blvd Ste H
Millersville, MD 21108-2644

Mailing address

2618 Sequoia LN
Gambrills, MD 21054-1376
Phone (443) 788-9476

Other practice location 1

1413 Annapolis Rd Ste 207
Odenton, MD 21113-1216
Phone (302) 354-6583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200923001282 MD Part B Supplier - Clinic/Group Practice 8921427055 Receives reassigned benefits from 1 practitioner
Practice locations: Millersville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1043828718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SEQUOIA LN",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541376",
            "telephone_number": "443-788-9476",
            "fax_number": "949-655-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD STE H",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082644",
            "telephone_number": "443-788-9476",
            "fax_number": "949-655-8724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Annapolis Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131216",
            "country_code": "US",
            "telephone_number": "302-354-6583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A STEP TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "MCDONNAUGH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "APRN, FNP, PMHNP",
        "authorized_official_telephone_number": "302-354-6583",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.