Individual provider Active NPI

Marina Vlada Needham, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1467655928
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R120868 Issued in MD
Practice address
8901 Rockville Pike
Wrnmmc, Department of Behavioral Health
Bethesda, MD 20889
Phone
(301) 295-4044
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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 R120868 MD Primary

Addresses

Primary practice location

8901 Rockville Pike
Wrnmmc, Department of Behavioral Health
Bethesda, MD 20889

Mailing address

Wrnmmc
Department of Behavioral Health/Inpatient Psychiatry
Bethesda, MD 20889-0001
Phone (301) 295-4095

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080904000440 MD Practitioner - Nurse Practitioner 6406945674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Eating Disorders PAGroup PAC ID 7315832573, 13 clinicians

Practice addresses (Care Compare)

101 Schilling Rd
Suite 40a
Hunt Valley, MD 21031-1137
Phone (410) 427-3900

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 427-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R120868MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center, LLC CurrentSince Aug 1, 2011 Accepting new patients

Locations

16 Old Court Rd
Ste 325
Baltimore, MD 21208
Phone (410) 356-4779

1700 Reisterstown Rd
Ste 215
Baltimore, MD 21208
Phone (410) 530-8823

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1467655928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WRNMMC",
            "address_2": "DEPARTMENT OF BEHAVIORAL HEALTH/INPATIENT PSYCHIATRY",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "address_2": "WRNMMC, DEPARTMENT OF BEHAVIORAL HEALTH",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889",
            "telephone_number": "301-295-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "MARINA",
        "middle_name": "VLADA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R120868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.