Healthcare Provider Details

I. General information

NPI: 1326971508
Provider Name (Legal Business Name): CHESAPEAKE PSYCHIATRIC SERVICES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221C E MAIN ST
RISING SUN MD
21911-1657
US

IV. Provider business mailing address

29 SPRINGFIELD CT
NORTH EAST MD
21901-1724
US

V. Phone/Fax

Practice location:
  • Phone: 410-441-8255
  • Fax:
Mailing address:
  • Phone: 302-420-0832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JEREMY PAUL BUNTY
Title or Position: OWNER AND PRACTITIONER
Credential: MSN, PMHNP-BC
Phone: 302-420-0832