Midshore Mental Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MIDSHORE MENTAL HEALTH

Doing business as

Shore Mental Health

Practice address

8133 Elliott Rd Ste 102
Easton, MD 21601-7184

Phone

(828) 318-2873

Fax

(443) 440-5072

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Callahan Hulseman, PMHNPNPI 1144667957

Title

Ceo

Phone

(828) 318-2873

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shore Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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.

• Teresa Callahan Hulseman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Easton, MD
  • NPI 1144667957
  Medicare reassignment Care Compare group NPD Authorized official
• Susan K Eakins, LCSWC

  • Social Worker
  • Centreville, MD
  • NPI 1073581187
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1720860265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 ELLIOTT RD STE 102",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017184",
            "telephone_number": "828-318-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 ELLIOTT RD STE 102",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017184",
            "telephone_number": "828-318-2873",
            "fax_number": "443-440-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSHORE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "HULSEMAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "CALLAHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-318-2873",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144667957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shore Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MH Health Care Services, PC
• Rowan Jonathan Michael, M.D.
• Mid-Shore Women's Health, LLC
• Robert Middleton, M.D.
• Midgard Anesthetics LLC Matthew Belzak Sole MBR
• Thomas Brian Mielke, DPT
• Lauren Danielle Milash, P.T.A.
• Miles River Primary Care LLC
• Carole Elizabeth Miller, LCSW-C
• Crystal Marie Miller, LCSW-C

• Psychiatry Physician in Easton, MD
• Providers in Easton, MD by specialty
• Psychiatry Physician in Maryland

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