Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy S Mallare

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639540420

Stacy S Mallare is a Nurse Practitioner in Owings Mills, Maryland. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
17
Licensed in
MD
In the registry since
2015

Practice location Address checks out

221 Oliver Heights Rd
Owings Mills, MD 21117-5074
Phone: (410) 718-3213
Fax: (980) 500-1063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R186082 (MD)

Record details

NPI number1639540420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2015
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Owings Mills