Organization Active NPI

Brilliance Psychiatry and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1386351815
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRILLIANCE PSYCHIATRY AND WELLNESS
Practice address
1 Olympic PL
Towson, MD 21204-4104
Phone
(443) 767-4053
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Pearl R Rucker, DNP, PMHNP-BCNPI 1003495557
Title
Owner
Phone
(706) 436-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1 Olympic PL
Towson, MD 21204-4104

Mailing address

1443 Rock Spring Rd Unit 190
Bel Air, MD 21014-1920
Phone (443) 767-4053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1386351815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 ROCK SPRING RD UNIT 190",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141920",
            "telephone_number": "443-767-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PL",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044104",
            "telephone_number": "443-767-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANCE PSYCHIATRY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-436-7101",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.