Individual provider Active NPI

Yvonne Wambaa, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hunt Valley, MD
National Provider Identifier
1154092716
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R186550 Issued in MD
Practice address
201 International Cir Ste 230
Hunt Valley, MD 21030-1344
Phone
(443) 233-0288
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R186550 MD Primary

Addresses

Primary practice location

201 International Cir Ste 230
Hunt Valley, MD 21030-1344

Mailing address

201 International Cir Ste 230
Hunt Valley, MD 21030-1344
Phone (443) 233-0288

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103000316 MD Practitioner - Nurse Practitioner 5193113678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triumph Behavioral Health LLCGroup PAC ID 9739470667, 6 clinicians

Practice addresses (Care Compare)

405 Frederick Rd
Suite 162
Catonsville, MD 21228-4646
Phone (443) 637-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R186550MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Behavioral Health LLC Psychiatric/Mental Health CurrentSince Oct 22, 2021 Accepting new patients

Locations

405 Frederick Rd
Ste 162
Catonsville, MD 21228
Phone (410) 744-3553

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17431/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1154092716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 INTERNATIONAL CIR STE 230",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301344",
            "telephone_number": "443-233-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 INTERNATIONAL CIR STE 230",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301344",
            "telephone_number": "443-233-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBAA",
        "first_name": "YVONNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R186550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.