TRACEY ELIZALDE FNP-BC PMHNP-BC LLC
NPI 1720828320
Clinic/Center - Mental Health (Including Community Mental Health Center) in Frederick, MD

Active since May 30, 2024
812 TOLL HOUSE AVE, FREDERICK, MD 21701(240) 439-5928 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Elizalde Fnp-bc Pmhnp-bc Llc NPPES

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

TRACEY ELIZALDE FNP-BC PMHNP-BC LLC (NPI 1720828320), doing business as Open Door Mental Health, is a healthcare organization registered as a mental health (including community mental health center) in Frederick, Maryland and active in the NPI registry since May 2024. The organization lists Tracey Elizalde, Owner, as its authorized official.

NPPES Registry Identity

NPI1720828320
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTRACEY ELIZALDE FNP-BC PMHNP-BC LLC
Location Address812 TOLL HOUSE AVEFrederick, MD 21701-4519
Mailing AddressPo Box 3072Frederick, MD 21705-3072
Organization SubpartNo
Authorized OfficialTracey ElizaldeOwner · (240) 439-5928
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
NPI 1720828320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
812 TOLL HOUSE AVE, Frederick, MD 21701

Other Names 1

Doing Business AsOpen Door Mental Health

Other Providers at the Same Location NPPES 2

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

Chiropractor
812 TOLL HOUSE AVE
FREDERICK, MD 21701
Counselor (Mental Health)
812 TOLL HOUSE AVE
FREDERICK, MD 21701

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 Tracey Elizalde Fnp-Bc Pmhnp-Bc LLC's NPI number?

The NPI number for Tracey Elizalde Fnp-Bc Pmhnp-Bc LLC is 1720828320. It was assigned to this organization in the NPPES registry on May 30, 2024. The provider is doing business as Open Door Mental Health.

Where is Tracey Elizalde Fnp-Bc Pmhnp-Bc LLC located?

Tracey Elizalde Fnp-Bc Pmhnp-Bc LLC is located at 812 Toll House Ave, Frederick, MD 21701. The listed phone number is (240) 439-5928.

What is Tracey Elizalde Fnp-Bc Pmhnp-Bc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Tracey Elizalde Fnp-Bc Pmhnp-Bc LLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.