NPIMap

Organization Active NPI

Journey Health Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Gwynn Oak, MD
National Provider Identifier
1871109181
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JOURNEY HEALTH CENTER
Practice address
1808 Woodlawn Dr Ste O
Gwynn Oak, MD 21207-4023
Phone
(410) 298-0734
Fax
(410) 510-1354
NPI assigned
Sep 22, 2020
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
JOURNEY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Robin Lynn Warren, DNP, CRNP, PMHNP
Title
Owner
Phone
(410) 209-7041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1808 Woodlawn Dr Ste O
Gwynn Oak, MD 21207-4023

Mailing address

1511 Wild Cranberry Dr
Crownsville, MD 21032-2018
Phone (410) 209-7041

Other identifiers 1

IdentifierTypeStateIssuer
874086100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Jorney Health Center6 organizations share this tax ID, including this one
Part of
Jorney Health Center

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1871109181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WILD CRANBERRY DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322018",
            "telephone_number": "410-209-7041",
            "fax_number": "410-510-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 WOODLAWN DR STE O",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074023",
            "telephone_number": "410-298-0734",
            "fax_number": "410-510-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY HEALTH CENTER",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-09-06",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-209-7041",
        "authorized_official_credential": "DNP, CRNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874086100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.