Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary J Shade, FNP-C, PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1760042899

Mary J Shade, FNP-C, PMHNP-BC is a Family Nurse Practitioner in Catonsville, Maryland. Works from 2 locations. Licensed in Maryland, New Jersey and Pennsylvania.

Licensed in
MD, NJ, PA
In the registry since
2019
Specialties on file
5
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone: (301) 241-6070
Fax: (570) 410-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 712 S Keyser Ave Unit 5-6, Taylor, PA 18517-9614 — (570) 232-3451

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R238464 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R238464 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP035477 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00933800 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP036380 (PA)

Record details

NPI number1760042899
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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