Individual provider Active NPI

Adiva Berkowitz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1881573970
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R244759 Issued in MD
Practice address
5560 Sterrett PL Ste 201
Columbia, MD 21044-2627
Phone
(443) 546-4000
NPI assigned
Sep 2, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 R244759 MD Primary

Addresses

Primary practice location

5560 Sterrett PL Ste 201
Columbia, MD 21044-2627

Mailing address

2138 Druid Park Dr
Baltimore, MD 21211-1426
Phone (410) 868-0696

Other practice location 1

2138 Druid Park Dr
Baltimore, MD 21211-1426
Phone (410) 868-0696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251105004544 MD Practitioner - Nurse Practitioner 6406346758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 8574
Elkridge, MD 21075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R244759MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Backpack Medical Group, P.C. Psychiatric/Mental Health CurrentSince Oct 24, 2025 Accepting new patients
Linnel Inc Psychiatric/Mental Health PastSince Sep 5, 2023 Accepting new patients

Locations

1453 N Rolling Rd
Catonsville, MD 21228
Phone (410) 455-5461

Organizations & group practices 2

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1881573970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 DRUID PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111426",
            "telephone_number": "410-868-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 STERRETT PL STE 201",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442627",
            "telephone_number": "443-546-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2138 Druid Park Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212111426",
            "country_code": "US",
            "telephone_number": "410-868-0696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "ADIVA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R244759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.