Courtney Pate, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R178290 Issued in MD

Practice address

111 Warren Rd Ste 12a
Cockeysville, MD 21030-2453

Phone

(443) 353-9393

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Restored Radiance Integrative Psychiatry L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Cockeysville, MD
  • NPI 1215871884
  NPD Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778371200000",
    "number": "1205199833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WARREN AVE # 12A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303914",
            "telephone_number": "443-353-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WARREN RD STE 12A",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302453",
            "telephone_number": "443-353-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "COURTNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R178290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniyah Parham
• Park and Scornavaca
• Hyeshin Park, PHD, MSSA, LCSW-C
• Robert D Park, D.M.D.
• Christopher Parker, PT
• Dwayne R Pate Jr., LMSW
• Isis Peace
• Penelope Scott, MD
• Odile Helene Penet
• Penuel Behavioral Health Services LLC

• Psychiatric/Mental Health Nurse Practitioner in Cockeysville, MD
• Providers in Cockeysville, 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 May 10, 2026; 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.