Well Mind Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WELL MIND PSYCHIATRY LLC

Practice address

18310 Montgomery Village Ave Ste 300G28
Gaithersburg, MD 20879-3551

Phone

(346) 220-3534

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Tamara MedinaNPI 1295138071

Title

Owner

Phone

(346) 220-3534

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tamara Medina

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1295138071
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1982433363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 300G28",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 300G28",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793551",
            "telephone_number": "346-220-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL MIND PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-220-3534"
    },
    "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": []
}

• Wendy Louise Weisblatt, RDN, LDN
• Randee Weiss, LCSWC
• Robert Weitzman, MD
• Elisabeth Welch
• Makaila Weldon
• Caroline Elisabeth Wellbery, M.D.
• Sachet Wellington
• Wellsprings Chiropractic
• Wen-Li Lu,LLC
• Bailey Mitchell Weskamp, DNP, WHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.