Organization Active NPI

WBMW Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1972132264
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WBMW WELLNESS CENTER LLC
Practice address
3459 Saint Johns LN Ste 4
Ellicott City, MD 21042-4025
Phone
(301) 909-8150
Fax
(301) 909-8151
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Biliki S Douglas, PMHNP-BCNPI 1801459193
Title
President
Phone
(301) 909-8150

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3459 Saint Johns LN Ste 4
Ellicott City, MD 21042-4025

Mailing address

3459 Saint Johns LN Ste 4
Ellicott City, MD 21042-4025
Phone (301) 909-8150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200603002162 MD Part B Supplier - Clinic/Group Practice 8921429739 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2192810WBMW Wellness Center LLC3459 Saint Johns Lane Suite 4, Ellicott City, MD 21042Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Locations

5457 Twin Knolls Rd
Ste 300S2
Columbia, MD 21045
Phone (240) 593-3880

3459 Saint Johns Ln
Ste 4
Ellicott City, MD 21042
Phone (301) 909-8150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1972132264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN STE 4",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424025",
            "telephone_number": "301-909-8150",
            "fax_number": "301-909-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 SAINT JOHNS LN STE 4",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424025",
            "telephone_number": "301-909-8150",
            "fax_number": "301-909-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WBMW WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BILIKI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-909-8150",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.