IndividualActive
Michael Petti
NPI 1295548618 · Psychiatric/Mental Health Nurse Practitioner · Middle River, MD
Provider details
- NPI number
- 1295548618
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R113240 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11560 Crossroads Cir Ste 10221220
Middle River, MD 21220-2885
Phone: (410) 508-0722
Street-level locationGet directions
Mailing address
11560 Crossroads Cir Ste 10221220
Middle River, MD 21220-2885
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.