Organization Active NPI

Sea Glass Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Berlin, MD
National Provider Identifier
1083411896
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SEA GLASS BEHAVIORAL HEALTH, LLC
Practice address
617 Franklin Ave Unit 7
Berlin, MD 21811-1358
Phone
(410) 979-8902
Fax
(443) 313-6948
NPI assigned
Feb 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Julie Anne KinhartNPI 1225803901
Title
Pmhnp-BC
Phone
(443) 366-4385

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 1

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

Addresses

Primary practice location

617 Franklin Ave Unit 7
Berlin, MD 21811-1358

Mailing address

617 Franklin Ave Unit 7
Berlin, MD 21811-1358
Phone (410) 979-8902

National Provider Directory

National Provider Directory

Locations

617 Franklin Ave
Unit 7
Berlin, MD 21811
Phone (410) 979-8902

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": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1083411896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN AVE UNIT 7",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111358",
            "telephone_number": "410-979-8902",
            "fax_number": "443-313-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN AVE UNIT 7",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111358",
            "telephone_number": "410-979-8902",
            "fax_number": "443-313-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GLASS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "KINHART",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "443-366-4385"
    },
    "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 Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.