Active NPI
Western Maryland Mental Health
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Selina Jones, NURSE PRACTITIONER
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, MD
- NPI 1700220175
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.