Organization Active NPI

Caring Hearts Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1073298261
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CARING HEARTS MENTAL HEALTH SERVICES
Practice address
365 W Patrick St
Frederick, MD 21701-4854
Phone
(240) 446-0717
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Mary Ann Dameron, PMHNP-BC
Title
Owner
Phone
(336) 601-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

365 W Patrick St
Frederick, MD 21701-4854

Mailing address

365 W Patrick St Ste 205B
Frederick, MD 21701-4854
Phone (240) 446-0717

Other practice location 1

6810 Stoneledge Ct
New Market, MD 21774-6685
Phone (336) 601-1255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231023002313 MD Part B Supplier - Clinic/Group Practice 5294181590 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

365 W Patrick St
Frederick, MD 21701
Phone (240) 446-0717

365 W Patrick St
Ste 205B
Frederick, MD 21701

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1073298261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST STE 205B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014854",
            "telephone_number": "240-446-0717",
            "fax_number": "410-202-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014854",
            "telephone_number": "240-446-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 Stoneledge Ct",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "MD",
            "postal_code": "217746685",
            "country_code": "US",
            "telephone_number": "336-601-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARING HEARTS MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-601-1255",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.