Individual provider Active NPI

Charleen Gonden, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Berlin, MD
National Provider Identifier
1255822565
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP018746 Issued in PA
Practice address
29 Broad St Ste 202a
Berlin, MD 21811-1054
Phone
(667) 288-1566
NPI assigned
May 22, 2018
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 SP018746 PA Primary

Addresses

Primary practice location

29 Broad St Ste 202a
Berlin, MD 21811-1054

Mailing address

29 Broad St Ste 202a
Berlin, MD 21811-1054
Phone (667) 288-1566

Other identifiers 1

IdentifierTypeStateIssuer
103524982MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190131001814 PA Practitioner - Nurse Practitioner 3072850890 Reassigns benefits to 2 organizations
I20221017001115 MD Practitioner - Nurse Practitioner 3072850890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holcomb Associates IncGroup PAC ID 8729992458, 18 clinicians

Practice addresses (Care Compare)

1249 S Cedar Crest Blvd
Suite 103
Allentown, PA 18103-6200
Phone (610) 435-4151

467 Creamery Way
Exton, PA 19341-2508
Phone (610) 363-1488

929 Northampton St
Easton, PA 18042-4231
Phone (610) 330-9862

9956 N Main St
Unit 4
Berlin, MD 21811-1077
Phone (908) 418-3234

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Associates, Inc. Current Accepting new patients
Holcomb Behavioral Health Systems CurrentSince Apr 30, 2022 Accepting new patients
Restorative Behavioral Health, Inc. Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Restorative Behavioral Health, Inc. PastSince Oct 6, 2024 Accepting new patients

Locations

29 Broad St
Ste 202A
Berlin, MD 21811
Phone (667) 288-1566

9956 N Main St
Unit 4
Berlin, MD 21811
Phone (410) 629-1845

929 Northampton St
Easton, PA 18042
Phone (610) 330-9862

467 Creamery Way
Exton, PA 19341
Phone (610) 594-0278

920 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-7400

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1255822565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BROAD ST STE 202A",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111054",
            "telephone_number": "667-288-1566",
            "fax_number": "410-429-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BROAD ST STE 202A",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111054",
            "telephone_number": "667-288-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDEN",
        "first_name": "CHARLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP018746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103524982",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.