Individual provider Active NPI

Colleen Darmody, PMHNP-BC WHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1750356499
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC006459 Issued in MD
Practice address
3073 Bridgeton CT
Woodbridge, VA 22192-1152
Phone
(703) 216-1495
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024086302 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC006459 MD Primary

Addresses

Primary practice location

3073 Bridgeton CT
Woodbridge, VA 22192-1152

Mailing address

3073 Bridgeton CT
Woodbridge, VA 22192-1152
Phone (703) 216-1495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626002376 MD Practitioner - Nurse Practitioner 5496299877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC006459MDMDPsychiatric/Mental Health Nurse Practitioner
0024086302VAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Feel Better Behavioral Health Services LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1005 S Main St
Ste 201
Hampstead, MD 21074
Phone (410) 941-8488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1750356499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 BRIDGETON CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921152",
            "telephone_number": "703-216-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 BRIDGETON CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921152",
            "telephone_number": "703-216-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMODY",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024086302",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC006459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.