Aegis Practitioners LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AEGIS PRACTITIONERS LLC

Doing business as

Frederick Child and Adolescent Mental Health

Practice address

1475 Taney Ave
Frederick, MD 21702-4747

Phone

(240) 446-7633

NPI assigned

May 26, 2023

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Nearman, PMHNP-BC, FNP-BCNPI 1679180657

Title

Owner

Phone

(240) 656-1033

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Frederick Child and Adolescent Mental Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Nearman, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1679180657
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1619660537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 TANEY AVE STE 105",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025126",
            "telephone_number": "240-446-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 TANEY AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024747",
            "telephone_number": "240-446-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "NEARMAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-656-1033",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1679180657",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Child and Adolescent Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.