Mindsite Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDSITE HEALTH LLC

Practice address

6755 Business Pkwy Ste 109
Elkridge, MD 21075-6856

Phone

(443) 230-4050

Fax

(609) 710-1599

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Susana Lynn Nwous, DNP, CRNP-PMH

Title

Medical Director

Phone

(443) 230-4050

Specialties & licenses 2

Addresses

Other names 1

• Mindsite Health Former legal business name

Practitioners 1

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

• Susana Lynn Nwosu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1063059863
  NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1982310405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 109",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756856",
            "telephone_number": "443-230-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY STE 109",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756856",
            "telephone_number": "443-230-4050",
            "fax_number": "609-710-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSITE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "NWOUS",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-230-4050",
        "authorized_official_credential": "DNP, CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindsite Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Valerie Renee Middleton, CRNP
• Debrah Miller
• Regina Marie Miller, CRNP
• Traci Rae Miller, RN, MSN, CRNP
• Gary Alan Milles, M.D.
• Minuteclinic LLC
• Afshan Ashley Mizrahi
• Samantha Mohen, D.C.
• Jane Mok, O.D.
• Jules Momeni Dieuji

• Psychiatry Physician in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.