MILLENNIUM 25 GROUP LLC
NPI 1861071912
Nurse Practitioner - Psychiatric/Mental Health in Millersville, MD

Active since April 06, 2021
672 OLD MILL RD STE I, MILLERSVILLE, MD 21108(410) 729-0630(410) 729-0091 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Millennium 25 Group Llc NPPES

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

MILLENNIUM 25 GROUP LLC (NPI 1861071912) is a healthcare organization registered as a psychiatric/mental health in Millersville, Maryland and active in the NPI registry since April 2021. The organization lists Travis Alden Baird, President, as its authorized official.

NPPES Registry Identity

NPI1861071912
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMILLENNIUM 25 GROUP LLC
Location Address672 OLD MILL RD STE IMillersville, MD 21108-1363
Mailing Address8775 Centre Park Dr Ste 251Columbia, MD 21045-2177 · (917) 873-5716 · Fax (410) 729-0091
Fax(410) 729-0091
Organization SubpartNo
Authorized OfficialTravis Alden BairdPresident · (917) 873-5716
Enumeration DateApril 6, 2021
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
NPI 1861071912 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
672 OLD MILL RD STE I, Millersville, MD 21108

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Millennium 25 Group LLC's NPI number?

The NPI number for Millennium 25 Group LLC is 1861071912. It was assigned to this organization in the NPPES registry on April 6, 2021.

Where is Millennium 25 Group LLC located?

Millennium 25 Group LLC is located at 672 Old Mill Rd Ste I, Millersville, MD 21108. The listed phone number is (410) 729-0630.

What is Millennium 25 Group LLC'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 Millennium 25 Group LLC was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.