Krissey Medical and Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KRISSEY MEDICAL AND MENTAL HEALTH

Practice address

10111 Martin Luther King Jr Hwy Ste 101
Bowie, MD 20720-4231

Phone

(248) 470-3427

Fax

(240) 334-2558

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Christiana RobertsNPI 1558805333

Title

Owner of Entity

Phone

(248) 470-3427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

Krissey Medical and Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Krissey Medical and Mental Health

  • Family Nurse Practitioner
  • Bowie, MD
  • NPI 1336964964
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christiana Roberts, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1558805333
  Medicare reassignment NPD Authorized official
• Grace Moore, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1851826531

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1790547123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY STE 101",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204231",
            "telephone_number": "248-470-3427",
            "fax_number": "240-334-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY STE 101",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204231",
            "telephone_number": "248-470-3427",
            "fax_number": "240-334-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 H St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200054706",
            "country_code": "US",
            "telephone_number": "240-960-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISSEY MEDICAL AND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "248-470-3427"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tosin Koya-Kuku, OTR/L
• Florence Koya
• Guileine Kraft, PH.D.
• Alyssa Robin Krieger, LCSW-C
• Krissey Medical and Mental Health
• Dorina Kroll, DPT
• Roman Kruglyanskiy, PHARMD
• Kub Wellness LLC
• Kubb Physical Therapy
• Emilia Kubera Shelton, PT

• Psychiatric/Mental Health Nurse Practitioner in Bowie, MD
• Providers in Bowie, 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 25, 2025; 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.