Bloom Harbor Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLOOM HARBOR PSYCHIATRY, LLC

Practice address

3024 Level Rd
Churchville, MD 21028-1409

Phone

(410) 688-1908

NPI assigned

Apr 2, 2026

Last updated

Apr 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Mae Dinges, PMHNPNPI 1609672690

Title

CRNP

Phone

(410) 498-7403

Specialties & licenses 1

Addresses

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.

• Amanda Mae Dinges, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1609672690
  NPD Authorized official

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1740121896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 LEVEL RD",
            "city": "CHURCHVILLE",
            "state": "MD",
            "postal_code": "210281409",
            "telephone_number": "410-498-7403",
            "fax_number": "443-596-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 LEVEL RD",
            "city": "CHURCHVILLE",
            "state": "MD",
            "postal_code": "210281409",
            "telephone_number": "410-688-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HARBOR PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "DINGES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "410-498-7403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Bazemore
• Robert Blythe Bowden, L. C. P. C.
• Patricia Canepa, MA CCC-SLP
• Churchville Dental Care, Inc.
• Dawn M Phillips Ddsllc (Campus Hills Dentistry)
• Dennis F Fisher PH D and Assoc.

• Psychiatric/Mental Health Nurse Practitioner in Churchville, MD
• Providers in Churchville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.