MYK PSYCHIATRY LLC NPI 1538748470

NPI Information

  • NPI: 1538748470
  • Provider Name: MYK PSYCHIATRY LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: MYNDPATH PSYCHIATRY AND MEDICAL ASSOCIATES LLC
  • CLIA Number: 21D2239579
  • Address: 188 THOMAS JOHNSON DR STE 202
    FREDERICK, MD
    ZIP 21702
  • Phone: (301) 378-0178

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NPI Details

MYK PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Frederick, MD. MYK PSYCHIATRY LLC NPI is 1538748470. The provider is registered as an organization entity type.
The provider Is Doing Business As Myndpath Psychiatry And Medical Associates Llc.

The provider's business location address is:

188 THOMAS JOHNSON DR STE 202
FREDERICK, MD
ZIP 21702-122
Phone: (301) 378-0178

The provider's authorized official is Mandi Rhone .
The authorized official title is Pmhnp/fnp and has the following contact phone number (443) 820-5796.

The CLIA number assigned to this NPI record is 21D2239579 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 10/24/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QP2300XClinic/CenterPrimary CareNo
4363LF0000XNurse PractitionerFamilyNo
5363LP0808XNurse 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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