1. Home
  2. Directory
  3. Maryland
  4. Columbia
  5. Nurse Practitioner
  6. NPI Profile

JUSTINE MIZE FORTKIEWICZ
NPI 1164383071
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MD

Active since November 20, 2025
9256 BENDIX RD STE 200B, COLUMBIA, MD 21045(443) 542-0773 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Nov 25, 2025, Nov 20, 2025 (3 updates tracked since 2025).

About Justine Mize Fortkiewicz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE MIZE FORTKIEWICZ (NPI 1164383071) is an individual psychiatric/mental health provider in Columbia, Maryland, licensed in Maryland (R189061) and active in the NPI registry since November 2025. She maintains a secondary practice location in Olney.

NPPES Registry Identity

NPI1164383071
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTINE MIZE FORTKIEWICZ
Location Address9256 BENDIX RD STE 200BColumbia, MD 21045-1848
Mailing Address9256 Bendix Rd Ste 200bColumbia, MD 21045-1848 · (443) 542-0773
Phone(443) 542-0773
Sole ProprietorYes
Enumeration DateNovember 20, 2025
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1164383071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R189061
9256 BENDIX RD STE 200B, Columbia, MD 21045
Open in Google Maps ↗

Secondary Practice Location 1

Location 13416 Olandwood Ct Ste 201Olney, MD 20832-1373 · Phone (443) 542-0773

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THAO P TRAN
Nurse Practitioner (Psychiatric/Mental Health)
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (443) 542-0773
SERPIL TURNBULL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (443) 542-0773
ELLICOTT CITY MENTAL HEALTH LLC
Psychiatry & Neurology (Psychiatry)
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (443) 542-0773
DR. ANANDRAJ MATTAI MD
Psychiatry & Neurology (Psychiatry)
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (443) 542-0773
MADISON GRACE KUTZERA PA-C
Physician Assistant
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (443) 542-0773
LINDSAY WAXLER L.AC, M.AC., LMSW
Social Worker (Clinical)
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (410) 227-2825
JENNIFER STEPHENS
Massage Therapist
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (443) 648-9095
MS. ELIZABETH ASHLEY DOLAN LCPC
Counselor
9256 BENDIX RD STE 200B
COLUMBIA, MD 21045
Howard County (443) 542-0773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Fortkiewicz's NPI number?

The NPI number for Justine Fortkiewicz is 1164383071. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Justine Fortkiewicz located?

Justine Fortkiewicz practices at 9256 Bendix Rd Ste 200B, Columbia, MD 21045. The listed phone number is (443) 542-0773.

What is Justine Fortkiewicz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Justine Fortkiewicz was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.