Individual provider Active NPI

Sara Hayden, DNP, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Centreville, MD
National Provider Identifier
1326620832
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R169534 Issued in MD
Practice address
120 Banjo LN
Centreville, MD 21617-1002
Phone
(410) 758-3050
NPI assigned
Apr 23, 2021
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 R169534 MD Primary

Addresses

Primary practice location

120 Banjo LN
Centreville, MD 21617-1002

Mailing address

101 Marlboro Ave Ste 106
Easton, MD 21601-2768
Phone (410) 376-5332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230410001451 MD Practitioner - Nurse Practitioner 9739554544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 Banjo LN
Centreville, MD 21617-1002
Phone (410) 758-2211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R169534MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corsica River Mental Health Service, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Serotonin Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Nov 10, 2024 Accepting new patients
Corsica River Mental Health Services, Inc. Current Accepting new patients

Locations

403 High St
Cambridge, MD 21613
Phone (443) 225-5780

120 Banjo Ln
Centreville, MD 21617
Phone (410) 758-2211

101 Marlboro Ave
Ste 106
Easton, MD 21601
Phone (443) 618-0296

Organizations & group practices 3

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1326620832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARLBORO AVE STE 106",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012768",
            "telephone_number": "410-376-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "SARA",
        "credential": "DNP, CRNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R169534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.