Individual provider Active NPI

Biliki S Douglas, PMHNP-BC

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Ellicott City, MD
National Provider Identifier
1801459193
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
R210953 Issued in MD
Practice address
3459 Saint Johns LN
Ellicott City, MD 21042-4015
Phone
(301) 909-8150
Fax
(301) 909-8151
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R210953 MD
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X R210953 MD Primary

Addresses

Primary practice location

3459 Saint Johns LN
Ellicott City, MD 21042-4015

Mailing address

3459 Saint Johns LN
Ellicott City, MD 21042-4015
Phone (301) 909-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191115000422 MD Practitioner - Nurse Practitioner 7911339858 Reassigns benefits to 2 organizations
I20230612000095 DC Practitioner - Nurse Practitioner 7911339858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3459 Saint Johns LN
Suite 4
Ellicott City, MD 21042-4025
Phone (301) 909-8150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R210953MDMDChild & Family Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cove Recovery, LLC CurrentSince Nov 1, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince May 1, 2023 Accepting new patients
Cove Recovery, LLC CurrentSince Nov 1, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince May 1, 2023 Accepting new patients
Ketamine Treatment Centers of Princeton, LLC CurrentSince Feb 15, 2020 Accepting new patients
Actify Neurotherapies PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

540 Riverside Dr
Ste 7
Salisbury, MD 21801
Phone (410) 548-3333

1122 Kenilworth Dr
Ste 418
Towson, MD 21204
Phone (410) 610-9135

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Organizations & group practices 7

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1801459193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424015",
            "telephone_number": "301-909-8150",
            "fax_number": "301-909-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424015",
            "telephone_number": "301-909-8150",
            "fax_number": "301-909-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "BILIKI",
        "middle_name": "S",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210953",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MD",
            "license": "R210953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.