OrganizationActive
Staywell Behavioral Health, LLC
NPI 1396392452 · Psychiatric/Mental Health Nurse Practitioner · Owings Mills, MD
Provider details
- NPI number
- 1396392452
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Pam Watford, Credentialing(410) 569-4165
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594
Phone: (443) 525-1495
Street-level locationGet directions
Mailing address
Po Box 28
Abingdon, MD 21009-0028
Registry dates
- Enumerated
- 2019-08-23
- Last updated
- 2019-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.