Maryland Wellness LLC
NPI 1588379739 · Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryland Wellness LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Baltimore, MD (NPI 1588379739).
Provider details
- NPI number
- 1588379739
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sierra Burley, Credentialing Specialist(410) 314-1030
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Additional practice locations (3)
- 519 N Mechanic StCumberland, MD 21502-2133Phone: (410) 314-1030Fax: (410) 314-1030
- 4200 Forbes Blvd Ste 104Lanham, MD 20706-4872Phone: (410) 314-1030Fax: (410) 314-1030
- 2255 Crain Hwy Ste 106Waldorf, MD 20601-3186Phone: (410) 314-1030Fax: (410) 314-1030
Registry dates
- Enumerated
- 2023-01-20
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Frequently asked questions
- What is Maryland Wellness LLC's NPI number?
- Maryland Wellness LLC's National Provider Identifier (NPI) is 1588379739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryland Wellness LLC?
- Maryland Wellness LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Maryland Wellness LLC located?
- Maryland Wellness LLC's practice location on file with NPPES is 4128 Hayward Ave # W, Baltimore, MD 21215-4340.
- What is Maryland Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Maryland Wellness LLC is (410) 314-1030.
- Does Maryland Wellness LLC accept Medicare?
- Maryland Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maryland Wellness LLC?
- The authorized official listed on Maryland Wellness LLC's NPPES record is Sierra Burley, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryland Wellness LLC's NPI active?
- Yes — Maryland Wellness LLC's NPI (1588379739) is active in the NPPES registry as of the last update on 2025-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.