Organization Active NPI

Compassionate Mental Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingsville, MD
National Provider Identifier
1528732633
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COMPASSIONATE MENTAL HEALTHCARE
Practice address
7400 Bradshaw Rd Ste 2
Kingsville, MD 21087-1651
Phone
(410) 913-7296
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Mrs. Tracy R Thomas
Title
Billing Agent
Phone
(410) 663-4036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7400 Bradshaw Rd Ste 2
Kingsville, MD 21087-1651

Mailing address

11716 Chapman Rd
Kingsville, MD 21087-1522
Phone (410) 913-7296

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220222000669 MD Part B Supplier - Clinic/Group Practice 7517351356 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsville, MD

National Provider Directory

National Provider Directory

Locations

7400 Bradshaw Rd
Ste 2
Kingsville, MD 21087
Phone (410) 913-7296

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1528732633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 CHAPMAN RD",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871522",
            "telephone_number": "410-913-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BRADSHAW RD STE 2",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871651",
            "telephone_number": "410-913-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE MENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "410-663-4036",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

Other providers in Kingsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.