Individual provider Active NPI

Latoya Belton, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1528899788
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R268055 Issued in MD
Practice address
1208 E Churchville Rd
Bel Air, MD 21014-3442
Phone
(410) 893-4600
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 R268055 MD Primary

Addresses

Primary practice location

1208 E Churchville Rd
Bel Air, MD 21014-3442

Mailing address

1208 E Churchville Rd
Bel Air, MD 21014-3442
Phone (410) 893-4600

Other names 1

  • Latoya Miles Former name

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
I20241104002413 MD Practitioner - Nurse Practitioner 2860925492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

606 Baltimore Ave
Suite 406
Baltimore, MD 21204-4073
Phone (410) 893-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R268055MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Community Services Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Safe Harbor Behavioral Care, LLC Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

606 Baltimore Ave
Ste 406
Baltimore, MD 21204

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

3060 Mitchellville Rd
Ste 106B
Bowie, MD 20716
Phone (410) 838-9500

14456 Old Mill Rd
Ste 101
Upper Marlboro, MD 20772

Organizations & group practices 3

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1528899788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143442",
            "telephone_number": "410-893-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143442",
            "telephone_number": "410-893-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTON",
        "first_name": "LATOYA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R268055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOYA",
            "last_name": "MILES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.