Individual provider Active NPI

Mary Anne Smith, MSN, DNP, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1548747710
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R235450 Issued in MD
Practice address
7801 York Rd Ste 360
Towson, MD 21204-7465
Phone
(410) 847-7171
Fax
(443) 319-1116
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 R235450 MD Primary

Addresses

Primary practice location

7801 York Rd Ste 360
Towson, MD 21204-7465

Mailing address

7801 York Rd Ste 360
Towson, MD 21204-7465
Phone (410) 847-7171

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
I20180905002944 MD Practitioner - Nurse Practitioner 3870843253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

650 Ritchie Hwy
Suite 207
Severna Park, MD 21146-3935
Phone (410) 315-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Mar 13, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Mar 13, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Psychological Healthcare, PLLC Past Accepting new patients
Clear Sky Therapy Services, LLC PastSince Sep 1, 2018 Accepting new patients

Locations

5525 Twin Knolls Rd
Ste 327
Columbia, MD 21045
Phone (410) 992-9149

1311 S Main St
Ste 202
Mount Airy, MD 21771
Phone (301) 829-2242

650 Ritchie Hwy
Ste 207
Severna Park, MD 21146
Phone (410) 315-9350

1380 Progress Way
Ste 101
Sykesville, MD 21784
Phone (410) 549-5181

7801 York Rd
Ste 360
Towson, MD 21204
Phone (410) 847-7171

Organizations & group practices 5

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1548747710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 360",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047465",
            "telephone_number": "410-847-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 360",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047465",
            "telephone_number": "410-847-7171",
            "fax_number": "443-319-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY ANNE",
        "name_prefix": "Dr.",
        "credential": "MSN, DNP, RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R235450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.