NPI 1922985126 · live from the CMS NPI Registry
Heidi Gerondakis, CRNP
Nurse Practitioner, Psych/Mental Health in Highland, MD. National Provider Identifier 1922985126, active.
NPI record
| NPI | 1922985126 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 13334 Clarksville Pike Bldg C, Suite B, Highland, MD 20777 |
| Practice phone | 301-618-0829 |
| Mailing address | 12212 Snowden Woods Rd, Laurel, MD 20708 |
| Enumerated | August 19, 2025 |
| Last updated | April 2, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | NP500328158 (DC) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | R228144 (MD) |
| Registered Nurse, General Practice | 163WG0000X | R228144 (MD) |
| Registered Nurse, General Practice | 163WG0000X | RN500328158 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.