Stacy S Mallare

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R186082 Issued in MD

Practice address

221 Oliver Heights Rd
Owings Mills, MD 21117-5074

Phone

(410) 718-3213

Fax

(980) 500-1063

NPI assigned

Oct 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Maryland Medical Specialists Inc

  • Clinic/Center
  • Rockville, MD
  • NPI 1245907252

  DC

  Medicare reassignment NPD
• Mallare and Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1952105751
  NPD Authorized official
• Safe Harbor Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bel Air, MD
  • NPI 1184209447

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1639540420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GROFFS MILL DR # 735",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176341",
            "telephone_number": "410-718-3213",
            "fax_number": "980-500-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 OLIVER HEIGHTS RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175074",
            "telephone_number": "410-718-3213",
            "fax_number": "980-500-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARE",
        "first_name": "STACY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R186082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Oliver Mahler, CRNP
• Penina Miriam Majeski
• Sabrina Malachi
• Sarah Malik, DPM
• Mallare and Associates, LLC
• Tatyana Maltseva, LIC. ACUPUNCTURIST
• Rebecca Mancoll
• Alisa Perle Mandel, O.D.
• Bruce P. Mandel, D.D.S.
• Ira Mandell, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, 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 Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.