Organization Active NPI

Western Maryland Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, MD
National Provider Identifier
1699550772
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WESTERN MARYLAND MENTAL HEALTH
Practice address
7 W Main St
Middletown, MD 21769-8004
Phone
(301) 580-0626
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Selina Jones, NURSE PRACTITIONERNPI 1700220175
Title
FNP-BC-Pmhnp-BC
Phone
(301) 580-0626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7 W Main St
Middletown, MD 21769-8004

Mailing address

205 Washington St
Middletown, MD 21769-8014
Phone (301) 580-0626

National Provider Directory

National Provider Directory

Locations

7 W Main St
Middletown, MD 21769
Phone (301) 580-0626

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1699550772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WASHINGTON ST",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698014",
            "telephone_number": "301-580-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W MAIN ST",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698004",
            "telephone_number": "301-580-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MARYLAND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "FNP-BC-PMHNP-BC",
        "authorized_official_telephone_number": "301-580-0626",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.