Organization Active NPI

Healthwell, NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, MD
National Provider Identifier
1467009423
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALTHWELL, NP LLC
Practice address
631 Cherry Hill Rd Ste 101
Brooklyn, MD 21225-1228
Phone
(443) 898-6622
NPI assigned
Aug 23, 2019
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Tridonna Deval Brandford, CRNPNPI 1316377377
Title
Owner
Phone
(443) 898-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

631 Cherry Hill Rd Ste 101
Brooklyn, MD 21225-1228

Mailing address

631 Cherry Hill Rd Ste 101
Brooklyn, MD 21225-1228
Phone (443) 898-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190918002887 MD Part B Supplier - Clinic/Group Practice 4880924760 Receives reassigned benefits from 3 practitioners
Practice locations: Pikesville, MD

National Provider Directory

National Provider Directory

Locations

3701 Old Court Rd
Ste 4A
Pikesville, MD 21208
Phone (443) 898-6622

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1467009423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL RD STE 101",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "443-898-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL RD STE 101",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212251228",
            "telephone_number": "443-898-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWELL, NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "BRANDFORD",
        "authorized_official_first_name": "TRIDONNA",
        "authorized_official_middle_name": "DEVAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-898-6622",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.