Wildflower Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WILDFLOWER PSYCHIATRY, LLC

Practice address

10055 Red Run Blvd Ste 200
Owings Mills, MD 21117-4867

Phone

(240) 599-7804

Fax

(240) 752-0849

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer DouglasNPI 1114559036

Title

Nurse Practitioner

Phone

(240) 599-7804

Specialties & licenses 2

Addresses

Other names 1

• Willow Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer G Douglas, CRNP, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1114559036

  Family

  NPD Authorized official

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1376248609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 RED RUN BLVD STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174867",
            "telephone_number": "240-345-1055",
            "fax_number": "240-752-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 RED RUN BLVD STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174867",
            "telephone_number": "240-599-7804",
            "fax_number": "240-752-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-599-7804"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vivian Lynn Whitehead, COTA/L
• Kyona Whittaker
• Wiener and Daniels, DPM, PA
• London Wiggins
• Wildflower Psychiatry, LLC
• Jill Carlton Wilkens, M.D.
• Sarah Willey, SLP
• Dianne Williams Mitchell
• Cynthia Marie Williams-Queen, RN
• Adeoti Omonike Williams, R.PH

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, 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 Jul 14, 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.