Active NPI
State of Mind Health & Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lanham, MD
National Provider Identifier
1932862000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- STATE OF MIND HEALTH & WELLNESS, LLC
- Practice address
- 7933 Annapolis Rd # 1054
Lanham, MD 20706-1309 - Phone
- (410) 705-4422
- Fax
- (205) 855-0617
- NPI assigned
- Oct 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaundra Parsley, CRNP-PMH/RN
- Title
- Owner
- Phone
- (410) 705-4422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
7933 Annapolis Rd # 1054
Lanham, MD 20706-1309
Mailing address
7933 Annapolis Rd # 1054
Lanham, MD 20706-1309
Phone (410) 705-4422
Other practice location 1
7306 Stallings Dr
Glen Burnie, MD 21060-8371
Phone (410) 705-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
8338 Veterans Hwy
Ste 204A
Millersville, MD 21108
Phone (410) 705-4422
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1427688662
DC
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1558243360
-
- Psychiatric/Mental Health Nurse Practitioner
- Millersville, MD
- NPI 1033822317
-
- Psychiatric/Mental Health Nurse Practitioner
- Hyattsville, MD
- NPI 1083356448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1932862000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7933 ANNAPOLIS RD # 1054",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061309",
"telephone_number": "410-705-4422",
"fax_number": "205-855-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7933 ANNAPOLIS RD # 1054",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061309",
"telephone_number": "410-705-4422",
"fax_number": "205-855-0617"
}
],
"practiceLocations": [
{
"address_1": "7306 Stallings Dr",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210608371",
"country_code": "US",
"telephone_number": "410-705-4422",
"fax_number": "205-855-0617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STATE OF MIND HEALTH & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-15",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A",
"authorized_official_last_name": "PARSLEY",
"authorized_official_first_name": "SHAUNDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-705-4422",
"authorized_official_credential": "CRNP-PMH/RN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.