Organization Active NPI

Baltimore Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1699570465
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALTIMORE WELLNESS
Practice address
2835 Smith Ave Ste 207
Baltimore, MD 21209-1462
Phone
(443) 929-4853
Fax
(667) 249-3995
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Dr. Yury Malachevsky, DNP,CRNP,AGNP,PMHNPNPI 1326443086
Title
Practice Owner
Phone
(443) 845-4458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

2835 Smith Ave Ste 207
Baltimore, MD 21209-1462

Mailing address

2530 Summerson Rd
Baltimore, MD 21209-2549
Phone (443) 929-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202000903 MD Part B Supplier - Clinic/Group Practice 1456844125 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

2700 Quarry Lake Dr
Ste 280
Baltimore, MD 21209
Phone (410) 469-5544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1699570465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SUMMERSON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092549",
            "telephone_number": "443-929-4853",
            "fax_number": "667-249-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE STE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091462",
            "telephone_number": "443-929-4853",
            "fax_number": "667-249-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "MALACHEVSKY",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "443-845-4458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,CRNP,AGNP,PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.