NPI 1396389896 · live from the CMS NPI Registry
Aegis Psychological Services
Nurse Practitioner, Psych/Mental Health in Marriottsville, MD. National Provider Identifier 1396389896, active.
NPI record
| NPI | 1396389896 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 2500 Wallington Way Ste 103, Marriottsville, MD 21104 |
| Practice phone | 443-363-0143 |
| Enumerated | October 29, 2019 |
| Last updated | May 19, 2026 |
| Authorized official | Rani George, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.