Active NPI
Maryland Wellness and Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
National Provider Identifier
1548920697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MARYLAND WELLNESS AND PSYCHIATRY LLC
- Practice address
- 915 Toll House Ave Ste 209
Frederick, MD 21701-5901 - Phone
- (410) 888-0731
- NPI assigned
- Dec 29, 2021
- 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
- Lance Conda
- Title
- Billing Manager
- Phone
- (410) 927-3510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
915 Toll House Ave Ste 209
Frederick, MD 21701-5901
Mailing address
2717 Friendship Farm CT
West Friendship, MD 21794-9310
Phone (410) 888-0731
National Provider Directory
National Provider DirectoryLocations
550 Highland St
Ste 310
Frederick, MD 21701
Phone (410) 936-3939
915 Toll House Ave
Ste 209
Frederick, MD 21701
Phone (410) 888-0731
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
- NPI 1184585127
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Winchester, VA
- NPI 1285486316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1548920697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 FRIENDSHIP FARM CT",
"city": "WEST FRIENDSHIP",
"state": "MD",
"postal_code": "217949310",
"telephone_number": "410-888-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 TOLL HOUSE AVE STE 209",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015901",
"telephone_number": "410-888-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND WELLNESS AND PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "CONDA",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "410-927-3510"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.