Individual provider Active NPI

Mariel Veronica Otter, DNP, CRNP-MH

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville Timonium, MD
National Provider Identifier
1881204535
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R206504 Issued in MD
Practice address
1965 Greenspring Dr Ste 214
Lutherville Timonium, MD 21093-4199
Phone
(443) 212-8182
Fax
(443) 558-7579
NPI assigned
Aug 7, 2020
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 Nurse Practitioner 363LP0808X R206504 MD Primary

Addresses

Primary practice location

1965 Greenspring Dr Ste 214
Lutherville Timonium, MD 21093-4199

Mailing address

1965 Greenspring Dr Ste 214
Lutherville Timonium, MD 21093-4199
Phone (443) 212-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R206504MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Otter Psychiatry Single Specialty CurrentSince Aug 17, 2025 Accepting new patients

Locations

1965 Greenspring Dr
Ste 214
Timonium, MD 21093
Phone (443) 212-8182

Organizations & group practices 1

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1881204535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 GREENSPRING DR STE 214",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934199",
            "telephone_number": "443-212-8182",
            "fax_number": "443-558-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 GREENSPRING DR STE 214",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934199",
            "telephone_number": "443-212-8182",
            "fax_number": "443-558-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTER",
        "first_name": "MARIEL",
        "middle_name": "VERONICA",
        "credential": "DNP, CRNP-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R206504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.