Susquehanna Health and Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUSQUEHANNA HEALTH AND WELLNESS

Practice address

4125 Webster Rd
Havre de Grace, MD 21078-1647

Phone

(443) 807-6226

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Lillian Mothershed, CRNP

Title

Owner

Phone

(443) 807-6226

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: jmothershed@susquehannahealthandwellness.org

Practitioners 1

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

• Jennifer Bailey, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Conowingo, MD
  • NPI 1881237972
  NPD (past)

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1184479339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 WEBSTER RD",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210781647",
            "telephone_number": "443-807-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 WEBSTER RD",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210781647",
            "telephone_number": "443-807-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MOTHERSHED",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-807-6226",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JMothershed@susquehannahealthandwellness.org",
            "affiliation": "N",
            "endpointDescription": "Provider business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4125 Webster Rd",
            "city": "Havre DE Grace",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210781647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven C. Marks, MD, PA
• Summit Ambulatory Surgical Center LLC
• Summit Chiropractic P.a.
• Summit Pain Management Group,Inc
• Susquehanna Counseling Services LLC
• Susquehanna OB-GYN LLC
• Madison Brooke Tamberino, DPT
• The Care Group at Safe Harbor
• The Retina Group of Washington, PLLC
• The Retina Group of Washington, PLLC

• Community/Behavioral Health Agency in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.