NPIMap

Organization Active NPI

M Management Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1699551010
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
M MANAGEMENT GROUP LLC
Practice address
9106 Pine View LN
Clinton, MD 20735-3229
Phone
(301) 856-2930
NPI assigned
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
M MANAGEMENT GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Krystle D Brown
Title
Billing Manager
Phone
(410) 870-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

9106 Pine View LN
Clinton, MD 20735-3229

Mailing address

4806 U St NW
Washington, DC 20007-1546

Other names 1

  • M MANAGEMENT GROUP LLC PINEVIEW Other name

National Provider Directory

National Provider Directory
Tax ID family
M-Management LLC61 organizations share this tax ID, including this one
Part of
M-Management LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1699551010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PINE VIEW LN",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353229",
            "telephone_number": "301-856-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M MANAGEMENT GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M MANAGEMENT GROUP LLC",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-870-9380"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M MANAGEMENT GROUP LLC PINEVIEW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.