GOODTIME FAMILY CARE PC NPI 1295562395

NPI Information

  • NPI: 1295562395
  • Provider Name: GOODTIME FAMILY CARE PC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 7131 LIBERTY RD STE 103
    GWYNN OAK, MD
    ZIP 21207
  • Phone: (410) 325-5700

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NPI Details

GOODTIME FAMILY CARE PC is a psychiatric/mental health nurse practitioner in Gwynn Oak, MD. GOODTIME FAMILY CARE PC NPI is 1295562395. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

7131 LIBERTY RD STE 103
GWYNN OAK, MD
ZIP 21207-580
Phone: (410) 325-5700

The provider's authorized official is Ronda Herry .
The authorized official title is Physician Assistant/administrator and has the following contact phone number (410) 325-5700.

The enumeration date for this NPI number is 9/14/2024 and was last updated on 2/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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