Individual provider Active NPI

Dympna Ndelle, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1386414480
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R176789 Issued in MD
Practice address
9300 Seney LN
Owings Mills, MD 21117-5927
Phone
(410) 805-7816
Fax
(410) 832-3921
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 R176789 MD Primary

Addresses

Primary practice location

9300 Seney LN
Owings Mills, MD 21117-5927

Mailing address

9300 Seney LN
Owings Mills, MD 21117-5927
Phone (410) 805-7816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, 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
I20240614003565 DC Practitioner - Nurse Practitioner 8628511979 Reassigns benefits to 3 organizations
I20240618000981 MD Practitioner - Nurse Practitioner 8628511979 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Magnolia Behavior Health Center LLCGroup PAC ID 5193165645, 4 clinicians

Practice addresses (Care Compare)

200 Civic Ave
Salisbury, MD 21804-4599
Phone (410) 749-1466

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

604 Solarex CT
Unit 205
Frederick, MD 21703-8655
Phone (240) 919-6062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R176789MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kesu Mental Health LLC Psychiatric/Mental Health Current Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 10, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Sep 14, 2024 Accepting new patients
Magnolia Behavior Health Center LLC CurrentSince Jul 26, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 10, 2024 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Sep 14, 2024 Accepting new patients
Spiritual Healing CurrentSince Sep 14, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

3455 Wilkens Ave
Ste 101
Baltimore, MD 21229
Phone (240) 919-6062

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

604 Solarex Ct
Unit 205
Frederick, MD 21703
Phone (240) 919-6062

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1386414480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SENEY LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175927",
            "telephone_number": "410-805-7816",
            "fax_number": "410-832-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SENEY LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175927",
            "telephone_number": "410-805-7816",
            "fax_number": "410-832-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDELLE",
        "first_name": "DYMPNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R176789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.