Active NPI
Transformational Telepsychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Pikesville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TRANSFORMATIONAL TELEPSYCHIATRY
- Practice address
- 1515 Reisterstown Rd
Pikesville, MD 21208-4342 - Phone
- (410) 713-4711
- NPI assigned
- Oct 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lateshia Jackson
- Title
- Ceo/Nurse Practitioner
- Phone
- (202) 738-0761
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1515 Reisterstown Rd
Pikesville, MD 21208-4342
Mailing address
1515 Reisterstown Rd # 202
Pikesville, MD 21208-4342
Phone (410) 713-4711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337410ZBP8708339 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Transformational Telepsychiatry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pikesville, MD
- NPI 1427531532
Locations
1515 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 713-4711
1515 Reisterstown Rd
Ste 202
Pikesville, MD 21208
Phone (410) 713-4711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Easton, MD
- NPI 1063840262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1548737232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 REISTERSTOWN RD # 202",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084342",
"telephone_number": "410-713-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 REISTERSTOWN RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084342",
"telephone_number": "410-713-4711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMATIONAL TELEPSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-31",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "LATESHIA",
"authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
"authorized_official_telephone_number": "202-738-0761"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337410ZBP8708339",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.