Individual provider Active NPI

Steven Robert Bode, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
National Provider Identifier
1629935325
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R243956 Issued in MD
Practice address
11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885
Phone
(410) 508-0722
NPI assigned
Jan 6, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95307867 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70136697 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R243956 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95039060 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 500343038 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10002210 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 343973 AZ

Addresses

Primary practice location

11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885

Mailing address

11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885
Phone (410) 508-0722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95039060CAMDPsychiatric/Mental Health Nurse Practitioner
95307867CAMDPsychiatric/Mental Health Nurse Practitioner
R243956MDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1629935325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 CROSSROADS CIR STE 102",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202885",
            "telephone_number": "410-508-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 CROSSROADS CIR STE 102",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202885",
            "telephone_number": "410-508-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95307867",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70136697",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R243956",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95039060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "500343038",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10002210",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "343973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.