Organization Active NPI

Humanistic Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1740143759
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HUMANISTIC BEHAVIORAL HEALTH LLC
Practice address
9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031
Phone
(667) 255-0890
Fax
(410) 781-3944
NPI assigned
Dec 5, 2025
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mrs. Natalie Suezzette Bristol, NPNPI 1689479362
Title
Pmhnp-BC
Phone
(443) 780-4747

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 1

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

Addresses

Primary practice location

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031

Mailing address

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031
Phone (667) 255-0890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260524000043 MD Part B Supplier - Clinic/Group Practice 1153891825 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Locations

9861 Broken Land Pkwy
Ste 100
Columbia, MD 21046
Phone (301) 321-8245

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": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1740143759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9861 BROKEN LAND PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463031",
            "telephone_number": "667-255-0890",
            "fax_number": "410-781-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9861 BROKEN LAND PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463031",
            "telephone_number": "667-255-0890",
            "fax_number": "410-781-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANISTIC BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "SUEZZETTE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "443-780-4747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.