Active NPI
Ruth Atta, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R218248
- Practice address
- 428 E 25TH St
Baltimore, MD 21218-5304 - Phone
- (667) 622-0201
- NPI assigned
- Jan 31, 2020
- Last updated
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R218248 | MD | Primary |
Addresses
Primary practice location
428 E 25TH St
Baltimore, MD 21218-5304
Mailing address
2014 Orleans St
Baltimore, MD 21231-1114
Phone (667) 622-0201
Other practice location 1
5450 Reisterstown Rd Ste 304
Baltimore, MD 21215-4436
Phone (443) 759-8827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1206 York Rd
Suite 201
Lutherville, MD 21093-6217
Phone (410) 343-9869
2014 Orleans St
Baltimore, MD 21231-1114
Phone (443) 205-1837
428 E 25TH St
Baltimore, MD 21218-5304
Phone (410) 617-0142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R218248 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Psychiatry, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Lamplight Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Harwood Behavioral Health II LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
428 E 25th St
Baltimore, MD 21218
Phone (240) 813-9867
92 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (240) 815-7300
1206 York Rd
Ste 201
Luthvle Timon, MD 21093
Phone (410) 337-2626
828 Dulaney Valley Rd
Ste 12
Towson, MD 21204
Phone (410) 343-9869
Organizations & group practices 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1649000225
-
- Psychiatric/Mental Health Nurse Practitioner
- Luthvle Timon, MD
- NPI 1508472226
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1225544810
-
- Family Psychologist
- Dover, DE
- NPI 1821785205
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1407487101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 ORLEANS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212311114",
"telephone_number": "667-622-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E 25TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185304",
"telephone_number": "667-622-0201"
}
],
"practiceLocations": [
{
"address_1": "5450 Reisterstown Rd Ste 304",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212154436",
"country_code": "US",
"telephone_number": "443-759-8827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATTA",
"first_name": "RUTH",
"credential": "CRNP-PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R218248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.