Staywell Behavioral Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STAYWELL BEHAVIORAL HEALTH, LLC

Practice address

10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594

Phone

(443) 525-1495

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Pam Watford, MANAGER

Title

Credentialing

Phone

(410) 569-4165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Nora Richardson-Stewart, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1811996895
  Medicare reassignment NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1396392452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210090028",
            "telephone_number": "410-569-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175594",
            "telephone_number": "443-525-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYWELL BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "WATFORD",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "410-569-4165",
        "authorized_official_credential": "MANAGER"
    },
    "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": []
}

• Stable Healthcare Services LLC
• Lisa A Stanford, LCSW-C
• Sean Stanley
• Joseph E Stapleton Jr., RD LDN
• Starting Point Therapeutic Counseling, LLC
• Alexis Renay Stefanic
• Allison Marie Stehle
• Robert S Stein, D.C.
• Rona L Stein, MD
• Tracy Stein

• 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 Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.