Magnolia Psychiatric Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAGNOLIA PSYCHIATRIC SERVICES PLLC

Practice address

7100 Guilford Dr # 2071
Frederick, MD 21704-5257

Phone

(360) 567-8466

Fax

(660) 951-7859

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Nadine Annica Smith, NPNPI 1205082062

Title

Psychiatric Nurse Practitioner

Phone

(443) 823-6626

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nadine A Smith, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1205082062

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1417423989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NE 77TH AVE STE 275",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626857",
            "telephone_number": "360-567-8466",
            "fax_number": "660-951-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GUILFORD DR # 2071",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045257",
            "telephone_number": "360-567-8466",
            "fax_number": "660-951-7859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 NE 77th Ave Ste 275",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626857",
            "country_code": "US",
            "telephone_number": "360-567-8466",
            "fax_number": "660-951-7859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNOLIA PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "ANNICA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-823-6626",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "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": []
}

• Magnolia Behavior Health Center LLC
• Magnolia Behavior Health Center LLC
• Magnolia Behavior Health Center LLC
• Magnolia Behavior Health Center LLC
• Magnolia Behavior Health Center LLC
• Philip Jay Magpantay, DDS
• Katherine Ann Maher, M.D.
• Omar K Mahmassani, D.D.S.
• Syed Kashif Mahmood, M.D.
• Chrissy Mahoney

• Psychiatric/Mental Health Nurse Practitioner in Frederick, MD
• Providers in Frederick, 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 Mar 10, 2026; 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.