Mahogany Wellness

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MAHOGANY WELLNESS

Practice address

3108 Bayonne Ave
Baltimore, MD 21214-2323

Phone

(443) 743-7777

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Stacie Harrison, CRNP, PMHNPNPI 1811280803

Title

Psychiatric Nurse Practitioner

Phone

(443) 743-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Stacie Nicole Harrison, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1811280803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1073207171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 HARFORD RD STE C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212342150",
            "telephone_number": "443-743-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 BAYONNE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142323",
            "telephone_number": "443-743-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-743-7777",
        "authorized_official_credential": "CRNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Mahmood
• Sara Mariam Mahmood, MD
• Mahmoud Ahmed Mahmoud, MD
• Saleha Mahmud-Ritter, DDS
• Mahogany Jays Wellness, LLC
• Margaret Mary Mahon, NURSE PRACTITIONER
• Ernest M Mahone, PHD
• Nicholas Robert Mahoney, MD
• Pamela A Mahoney, CRNP
• Sarah Mahoney

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.