Individual provider Active NPI

Vida Robb, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1285276303
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R160916 Issued in MD
Practice address
14519 Turner Wootton Pkwy
Upper Marlboro, MD 20774-8693
Phone
(240) 486-9899
Fax
(949) 543-2361
NPI assigned
Oct 9, 2019
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 R160916 MD Primary

Addresses

Primary practice location

14519 Turner Wootton Pkwy
Upper Marlboro, MD 20774-8693

Mailing address

14519 Turner Wootton Pkwy
Upper Marlboro, MD 20774-8693
Phone (240) 486-9899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200327000906 MD Practitioner - Nurse Practitioner 0749619625 Reassigns benefits to 2 organizations
I20200422000063 DC Practitioner - Nurse Practitioner 0749619625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966

601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601
Phone (866) 630-0966

7760 Landover Rd
Hyattsville, MD 20785-2135
Phone (301) 825-4059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R160916MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. CurrentSince Mar 16, 2020 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Sep 15, 2025 Accepting new patients
Biopsychiatry Therapeutic Services LLC Psychiatric/Mental Health CurrentSince Dec 22, 2025 Accepting new patients
Refreshing Springs Assisted Living Homes, Inc PastSince Oct 1, 2019 Accepting new patients

Locations

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1285276303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14519 TURNER WOOTTON PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748693",
            "telephone_number": "240-486-9899",
            "fax_number": "301-383-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14519 TURNER WOOTTON PKWY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748693",
            "telephone_number": "240-486-9899",
            "fax_number": "949-543-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "VIDA",
        "name_prefix": "Mrs.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R160916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.