Individual provider Active NPI

Mary Nongndeh Zelio, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1588901946
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
204271 Issued in MD
Practice address
9030 Route 108 Ste a
Columbia, MD 21045-1990
Phone
(410) 740-1901
Fax
(410) 740-8237
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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 204271 MD Primary

Addresses

Primary practice location

9030 Route 108 Ste a
Columbia, MD 21045-1990

Mailing address

9814 Pheasant Run CT
Laurel, MD 20708-3192
Phone (240) 476-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190603000241 MD Practitioner - Nurse Practitioner 8123351400 Reassigns benefits to 3 organizations
I20190830001565 DC Practitioner - Nurse Practitioner 8123351400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
204271MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. CurrentSince Feb 22, 2021 Accepting new patients
M&M Behavioral Health Solutions Current Accepting new patients
Family Services, Inc CurrentSince Feb 22, 2021 Accepting new patients
Mosaic Community Services, Inc CurrentSince Feb 22, 2021 Accepting new patients
M&M Behavioral Health Solutions CurrentSince Apr 25, 2019 Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Feb 22, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
KNK Mental Health Services LLC PastSince May 1, 2022 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

219 W Patrick St
#A
Frederick, MD 21701
Phone (301) 662-3223

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

604 Solarex Ct
Unit 201
Frederick, MD 21703
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061
Phone (410) 766-6624

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 10

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1588901946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 PHEASANT RUN CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083192",
            "telephone_number": "240-476-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 ROUTE 108 STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451990",
            "telephone_number": "410-740-1901",
            "fax_number": "410-740-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELIO",
        "first_name": "MARY",
        "middle_name": "NONGNDEH",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "204271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.