Individual provider Active NPI

Mary J Shade, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1760042899
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R238464 Issued in MD
Practice address
516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone
(301) 241-6070
Fax
(570) 410-8110
NPI assigned
Jun 20, 2019
Last updated
Aug 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00933800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP036380 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00933800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R238464 MD Primary
Family Nurse Practitioner 363LF0000X R238464 MD
Family Nurse Practitioner 363LF0000X SP035477 PA

Addresses

Primary practice location

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142

Mailing address

PO Box 147
Havre de Grace, MD 21078-0147
Phone (301) 241-6070

Other practice location 1

712 S Keyser Ave Unit 5-6
Taylor, PA 18517-9614
Phone (570) 232-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP035477PAMDFamily Nurse Practitioner
R238464MDMDPsychiatric/Mental Health Nurse Practitioner
26NJ00933800NJMDPsychiatric/Mental Health Nurse Practitioner
SP036380PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Calmness Psychiatric/Mental Health CurrentSince Aug 3, 2026 Accepting new patients
Salego LLC Psychiatric/Mental Health CurrentSince Aug 3, 2026 Accepting new patients

Locations

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1760042899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210780147",
            "telephone_number": "301-241-6070",
            "fax_number": "570-410-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "301-241-6070",
            "fax_number": "570-410-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 S Keyser Ave Unit 5-6",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "PA",
            "postal_code": "185179614",
            "country_code": "US",
            "telephone_number": "570-232-3451",
            "fax_number": "570-410-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADE",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00933800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP036380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00933800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R238464",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R238464",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP035477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.