Mindvance Behavioral Health Solutions
Nurse Practitioner, Psych/Mental Health in Oakland, MD. Organization (NPI-2).
NPI number1245020155
StatusActive
Last updated in NPPESMay 17, 2025
Details
- NPI
- 1245020155
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindvance Behavioral Health Solutions
- Organization subpart
- No
- Enumeration date
- May 12, 2025
- Certification date
- May 17, 2025
- Last updated
- May 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
5000 Thayer Ctr Ste COakland, MD 21550-1139
Phone 443-877-5242
Mailing address
5000 Thayer Ctr Ste COakland, MD 21550-1139
Authorized official
Vanessa A Thompson
Ceo
4438775242
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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