Active NPI
Jessica Savage
- Psychiatric/Mental Health Nurse Practitioner
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC003939
- Practice address
- 1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485 - Phone
- (410) 893-4600
- Fax
- (443) 640-4358
- NPI assigned
- Aug 18, 2021
- Last updated
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010420 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC003939 | MD | Primary |
Addresses
Primary practice location
1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Mailing address
600 N Broad St
Suite 5 #1192
Middletown, DE 19709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2227 Old Emmorton Rd
Suite 119
Bel Air, MD 21015-6190
Phone (410) 893-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8-0010420 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
| AC003939 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Premier Counseling, LLC | Past | Accepting new patients | |
| Thrive Counseling LLC | Past | Accepting new patients |
Locations
1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500
260 Gateway Dr
Ste 1112C
Bel Air, MD 21014
260 Gateway Dr
Ste 19C
Bel Air, MD 21014
2227 Old Emmorton Rd
Ste 119
Bel Air, MD 21015
Phone 4108934600 ext. 223
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Bel Air, MD
- NPI 1316487879
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1669148763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N BROAD ST",
"address_2": "SUITE 5 #1192",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "19709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 E CHURCHVILLE RD STE 300",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143485",
"telephone_number": "410-893-4600",
"fax_number": "443-640-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVAGE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0010420",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC003939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- 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.
- 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.