Provider Profile
Mavis Kisseadoo, PMHNP is a nurse practitioner — psychiatric/mental health practicing in Columbia, MD. This provider record is associated with NPI 1366081887.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
10208 HICKORY RIDGE RD APT 302
Columbia, MD 21044
Mavis Kisseadoo is a nurse practitioner in Columbia, MD. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.
NPI registry
Mavis Kisseadoo is listed at 10208 Hickory Ridge Rd Apt 302, Columbia, MD 21044. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (667) 200-6144. Contact the office directly to confirm availability and scheduling.
NPI registry
Mavis Kisseadoo's National Provider Identifier is 1366081887. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Mavis Kisseadoo has 6+ years experience. Registered with an NPI since 2020. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
Not yet. This profile is built from public federal data and has not been confirmed by Mavis Kisseadoo. If this is you, claiming it is free.
Guide.md
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