Phoebe Antoinette Underwood-Davis, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R160760 Issued in MD

Practice address

59 Kate Wagner Rd
Westminster, MD 21157-6957

Phone

(410) 848-2500

NPI assigned

Jun 12, 2018

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll County Youth Service Bureau, Inc.Group PAC ID 2365417052, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.41 of 100Reported as group

Quality

30.12

Promoting interoperability

80

Improvement activities

40

Cost

57.93

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Carroll County Youth Service Bureau, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, MD
  • NPI 1710042924
  Medicare reassignment Care Compare group NPD
• Brook Lane Behavioral Services, Inc.

  dba North Village

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1417928151
  Medicare reassignment NPD
• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  Medicare reassignment NPD
• Brook Lane Behavioral Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1063721512
  NPD
• Brook Lane Health Services, Inc.

  • Psychiatric Hospital
  • Hagerstown, MD
  • NPI 1316918048
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1457844722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576957",
            "telephone_number": "410-848-2500",
            "fax_number": "410-876-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 KATE WAGNER RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576957",
            "telephone_number": "410-848-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1732 Derrs Sq E",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217012507",
            "country_code": "US",
            "telephone_number": "301-696-8323",
            "fax_number": "301-696-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD-DAVIS",
        "first_name": "PHOEBE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R160760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U.N.I. Medical Care, Inc (U.N.I. Urgent Care)
• Emily Udseth, FNP-C
• Katherine Ullmann
• Michele Ulsch, LCSW-C
• Umbrella Wellness Center
• Universal Mobile Healthcare Systems Inc (UMHCS, Inc)
• University of Maryland Pediatric Associates, PA
• University of Maryland Physicians, P.a. (University of Maryland Medical Group)
• University of Maryland Specialty Care Network LLC
• University of Maryland Specialty Care Network LLC

• Psychiatric/Mental Health Nurse Practitioner in Westminster, MD
• Providers in Westminster, 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 Oct 20, 2023; 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.

Verify at the official NPI Registry.