Individual provider Active NPI

Nina Camille Burruss, MD

  • Child & Adolescent Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1598386278
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0100939 Issued in MD
Practice address
4905 Del Ray Ave Ste 210
Bethesda, MD 20814-2559
Phone
(301) 901-8924
Fax
(301) 709-6282
NPI assigned
May 4, 2020
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0100939 MD
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X D0100939 MD Primary

Addresses

Primary practice location

4905 Del Ray Ave Ste 210
Bethesda, MD 20814-2559

Mailing address

4905 Del Ray Ave Ste 210
Bethesda, MD 20814-2559
Phone (301) 901-8924

Other practice location 1

6430 Rockledge Dr Ste 500
Bethesda, MD 20817-1886
Phone (301) 562-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 14, 2026 through Jan 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0100939MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Psychological Services CurrentSince Aug 3, 2025 Accepting new patients
NB Services LLC Psychiatry Current Accepting new patients

Locations

4905 Del Ray Ave
Ste 210
Bethesda, MD 20814
Phone (301) 901-8924

6430 Rockledge Dr
Ste 500
Bethesda, MD 20817
Phone (301) 562-8448

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1598386278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142559",
            "telephone_number": "301-901-8924",
            "fax_number": "301-709-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142559",
            "telephone_number": "301-901-8924",
            "fax_number": "301-709-6282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6430 Rockledge Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171886",
            "country_code": "US",
            "telephone_number": "301-562-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRUSS",
        "first_name": "NINA",
        "middle_name": "CAMILLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0100939",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0100939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.