Individual provider Active NPI

Ruth Atta, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1407487101
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R218248 Issued in MD
Practice address
428 E 25TH St
Baltimore, MD 21218-5304
Phone
(667) 622-0201
NPI assigned
Jan 31, 2020
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 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, DC2 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
I20200409000421 MD Practitioner - Nurse Practitioner 1557790706 Reassigns benefits to 3 organizations
I20201102001035 DC Practitioner - Nurse Practitioner 1557790706

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
Resilient Psychiatry, LLCGroup PAC ID 1759793441, 8 clinicians

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

LicenseStateTypeSpecialty
R218248MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Psychiatry, LLC Psychiatric/Mental Health CurrentSince Mar 27, 2023 Accepting new patients
Lamplight Psychiatry LLC Psychiatric/Mental Health CurrentSince Oct 22, 2024 Accepting new patients
Harwood Behavioral Health II LLC CurrentSince Jun 15, 2021 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.

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

Verify at the official NPI Registry.