MIA AL
NPI 1750247904
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since December 31, 2025
4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229(410) 202-2866(410) 988-2626 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mia Al NPPES

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

MIA AL (NPI 1750247904), doing business as Bridging Spaces, is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since December 2025. The organization lists Islammiyyah Al-ameen, Provider, as its authorized official.

NPPES Registry Identity

NPI1750247904
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIA AL
Location Address4200 EDMONDSON AVE STE 200Baltimore, MD 21229-1614
Mailing Address4200 Edmondson Ave Ste 200Baltimore, MD 21229-1614 · (410) 202-2866 · Fax (410) 988-2626
Fax(410) 988-2626
Organization SubpartNo
Authorized OfficialIslammiyyah Al-ameenProvider · (410) 202-2866
Enumeration DateDecember 31, 2025
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1750247904 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
4200 EDMONDSON AVE STE 200, Baltimore, MD 21229

Other Names 1

Doing Business AsBridging Spaces

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
4200 EDMONDSON AVE STE 200
BALTIMORE, MD 21229

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 Mia Al's NPI number?

The NPI number for Mia Al is 1750247904. It was assigned to this organization in the NPPES registry on December 31, 2025. The provider is doing business as Bridging Spaces.

Where is Mia Al located?

Mia Al is located at 4200 Edmondson Ave Ste 200, Baltimore, MD 21229. The listed phone number is (410) 202-2866.

What is Mia Al'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 Mia Al was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.