Active NPI
Andrew Cole, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Eldersburg, MD
National Provider Identifier
1891294682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R208452
- Practice address
- 1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545 - Phone
- (443) 920-5333
- Fax
- (443) 920-5334
- NPI assigned
- Feb 7, 2018
- Last updated
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R208452 | MD | Primary |
Addresses
Primary practice location
1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545
Mailing address
1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545
Phone (443) 920-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acc Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1643 Liberty Rd
Ste 105
Sykesville, MD 21784
Phone (443) 920-5333
511 Jermor Ln
Ste 105
Westminster, MD 21157
Phone (410) 215-6058
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": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1891294682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 LIBERTY RD STE 105",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846545",
"telephone_number": "443-920-5333",
"fax_number": "443-920-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 LIBERTY RD STE 105",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846545",
"telephone_number": "443-920-5333",
"fax_number": "443-920-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "ANDREW",
"credential": "CRNP-PMH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R208452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Choice Medical Supply Company (Choice Medical Supply)
- Helen Ritchie Ciampoli, DC
- Matthew Clark
- Clarke Communication Services
- Nicole Elaine Clarke, M.S., CCC-SLP
- Lisa Kay Colona, LCPC
- Stefani Comer, LGPC
- Common Wealth Group Homes Corporation
- Congruent Counseling Services LLC
- Congruent Counseling Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.