Mountain Laurel Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MOUNTAIN LAUREL PSYCHIATRY LLC

Practice address

2000 Jerry Dove Dr Ste 102
Bridgeport, WV 26330-9166

Phone

(304) 878-8246

Fax

(304) 449-5899

NPI assigned

Mar 19, 2026

Last updated

Sep 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Harper, PMHNP-BCNPI 1942980339

Title

Aprn

Phone

(601) 941-8243

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Deane Harper, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeport, WV
  • NPI 1942980339
  NPD Authorized official

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1861340432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S VIRGINIA AVE UNIT 27",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263305004",
            "telephone_number": "304-878-8246",
            "fax_number": "304-449-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 JERRY DOVE DR STE 102",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309166",
            "telephone_number": "304-878-8246",
            "fax_number": "304-449-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAUREL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "601-941-8243",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.