Individual provider Active NPI

Palvine Anchenmih Alem, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Upper Marlboro, MD
National Provider Identifier
1780258160
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RI99733 Issued in MD
Practice address
11507 Gloxinia CT
Upper Marlboro, MD 20774-9218
Phone
(240) 481-8450
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RI99733 MD Primary

Addresses

Primary practice location

11507 Gloxinia CT
Upper Marlboro, MD 20774-9218

Mailing address

11507 Gloxinia CT
Upper Marlboro, MD 20774-9218
Phone (240) 481-8450

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
I20220730000072 MD Practitioner - Nurse Practitioner 7012399595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1406 Crain Hwy S
Suite 104
Glen Burnie, MD 21061-4086
Phone (410) 766-6624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RI99733MDMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bazaaa Holistic Services, LLC CurrentSince Apr 13, 2025 Accepting new patients
Arise & Shine Health Center LLC CurrentSince Jun 11, 2023 Accepting new patients
M&M Behavioral Health Solutions CurrentSince Jan 24, 2024 Accepting new patients
M&M Behavioral Health Solutions Current Accepting new patients

Locations

7452 Baltimore Annapolis Blvd
#200
Glen Burnie, MD 21061
Phone (443) 209-7100

1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061
Phone (410) 766-6624

Organizations & group practices 5

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1780258160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 GLOXINIA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749218",
            "telephone_number": "240-481-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 GLOXINIA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749218",
            "telephone_number": "240-481-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEM",
        "first_name": "PALVINE",
        "middle_name": "ANCHENMIH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "RI99733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.