NPIMap

Organization Active NPI

Personal Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Princess Anne, MD
National Provider Identifier
1538022181
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PERSONAL WELLNESS CENTER
Practice address
12421 Somerset Ave Ste 1
Princess Anne, MD 21853-3021
Phone
(410) 742-6016
NPI assigned
Dec 9, 2025
Organization subpart
Yes
Parent organization
PERSONAL WELLNESS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Samantha Young
Title
Office Manager
Phone
(410) 742-6016

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

12421 Somerset Ave Ste 1
Princess Anne, MD 21853-3021

Mailing address

6508 Deer Pointe Dr Ste 4C
Salisbury, MD 21804-1668
Phone (410) 742-6016

National Provider Directory

National Provider Directory
Tax ID family
Personal Wellness Center5 organizations share this tax ID, including this one
Part of
Personal Wellness Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6508 Deer Pointe Dr
Ste 4C
Salisbury, MD 21804
Phone (410) 742-6016

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": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1538022181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 DEER POINTE DR STE 4C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041668",
            "telephone_number": "410-742-6016",
            "fax_number": "410-742-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 SOMERSET AVE STE 1",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218533021",
            "telephone_number": "410-742-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSONAL WELLNESS CENTER",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-742-6016"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.