Active NPI
Healing for Success
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1134092786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEALING FOR SUCCESS
- Practice address
- 1014 W 36TH St Ste 52
Baltimore, MD 21211-2415 - Phone
- (443) 788-4470
- NPI assigned
- Sep 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaye-de-Ann Rattray
- Title
- Owner
- Phone
- (347) 392-2704
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1014 W 36TH St Ste 52
Baltimore, MD 21211-2415
Mailing address
1014 W 36TH St Ste 52
Baltimore, MD 21211-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1014 W 36th St
Ste 52
Baltimore, MD 21211
Phone (347) 392-2704
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": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1134092786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 W 36TH ST STE 52",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 W 36TH ST STE 52",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112415",
"telephone_number": "443-788-4470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING FOR SUCCESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "RATTRAY",
"authorized_official_first_name": "KAYE-DE-ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-392-2704"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.