Psychiatric Nurse Practitioner Associate, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R121391 Issued in MD

Legal business name

PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE, LLC

Practice address

4401 E West Hwy
Suite 206 B
Bethesda, MD 20814-4523

Phone

(301) 907-6695

Fax

(301) 907-6771

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Teresa Richardson, CRNP,BC

Title

Psychiatric Nurse Practitioner

Phone

(301) 907-6695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1184748667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "SUITE 206 B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523",
            "telephone_number": "301-907-6695",
            "fax_number": "301-907-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "SUITE 206 B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523",
            "telephone_number": "301-907-6695",
            "fax_number": "301-907-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC NURSE PRACTITIONER ASSOCIATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-907-6695",
        "authorized_official_credential": "CRNP,BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R121391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Prykupenko, M.D.
• Eric Montgomery Pryor, MD
• Mary Elizabeth Pryor, D.D.S.
• Tricia Lynn Psota, PHD, RD
• Psychiatric Center of Northern Virginia
• Psychological Evaluations and Treatment, L.L.C.
• Deepu Pudasaini
• Yaid Puente Jimenez, MD
• Janna Puffer
• Ross C Puffer, MD

• Psychiatric/Mental Health Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.