Active NPI
Sayomi Mishima, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Joppa, MD
National Provider Identifier
1083592539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R223938
- Practice address
- 630 Towne Center Dr
Joppa, MD 21085-4440 - Phone
- (410) 510-7099
- Fax
- (410) 510-7955
- NPI assigned
- Aug 23, 2025
- Last updated
- Dec 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R223938 | MD | Primary |
Addresses
Primary practice location
630 Towne Center Dr
Joppa, MD 21085-4440
Mailing address
630 Towne Center Dr
Joppa, MD 21085-4440
Phone (410) 510-7099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251117000266 | MD | Order and Referring Only - Nurse Practitioner | 8729576863 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R223938 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1083592539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 TOWNE CENTER DR",
"city": "JOPPA",
"state": "MD",
"postal_code": "210854440",
"telephone_number": "410-510-7099",
"fax_number": "410-510-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 TOWNE CENTER DR",
"city": "JOPPA",
"state": "MD",
"postal_code": "210854440",
"telephone_number": "410-510-7099",
"fax_number": "410-510-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHIMA",
"first_name": "SAYOMI",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-23",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R223938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joppa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.