Healthcare Provider Details

I. General information

NPI: 1437961422
Provider Name (Legal Business Name): ONSITE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 REISTERSTOWN RD
PIKESVILLE MD
21208-3820
US

IV. Provider business mailing address

900 WHITELOCK ST APT A
BALTIMORE MD
21217-5324
US

V. Phone/Fax

Practice location:
  • Phone: 312-342-1444
  • Fax:
Mailing address:
  • Phone: 312-342-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA M MILLER
Title or Position: OWNER
Credential: DNP/PMHNP, CRNP-PMH
Phone: 312-342-1444