Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316577620 Individual Practitioner Male Practitioner

Jonathan Jame Wong , PMHNP-BC

Registered Nurse • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Jonathan Wong, PMHNP-BC is a registered healthcare professional specializing in Registered Nurse in Baltimore, MD. Practice services are available at 3900 LOCH RAVEN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3900 Loch Raven Blvd

Baltimore, MD 212182108

Telephone 4106057000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.8 Yrs
State Avg: 7.6 Yrs
Regional Practice Density
399 Specialists

Practicing in Baltimore, MD (2521 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License NY 806394

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MD R269240

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License MD R269240

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License NY 405708

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Licensed Master Social Worker

NPI 1003907148

Doctor of Pharmacy (Pharm.D.)

Craig Cook , LCSW-C

Social Worker - Clinical

NPI 1003909516

Licensed Clinical Social Worker - Certified

Rosemary Smith-Lamacchia , NP

Nurse Practitioner - Adult Health

NPI 1003912767

Nurse Practitioner

Sonya Morris , ICSW

Social Worker - Clinical

NPI 1003915943
Deborah Adams , RD, LD

Dietitian, Registered

NPI 1013003821

Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 12, 2026

Registered at 3900 LOCH RAVEN BLVD, BALTIMORE, MD 212182108 (Tel: 4106057000)

📍
Updated Business Mailing Address January 12, 2026

Registered at 3021 CARLEE RUN CT, ELLICOTT CITY, MD 210422158 (Tel: 6319741688)

👤
Provider Name / Credentials Updated January 12, 2026

Recorded as JONATHAN WONG, PMHNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2026

Registered Nurse (License #R269240 in MD)

NPI Profile Active January 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2020

Registered at 79 MIDDLEVILLE RD, NORTHPORT, NY 117682200 (Tel: 6312614400)

📍
Updated Business Mailing Address January 26, 2020

Registered at 33 COLLEGE DR, STONY BROOK, NY 117902726 (Tel: 6319741688)

👤
Provider Name / Credentials Updated January 26, 2020

Recorded as JONATHAN WONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2020

Registered Nurse (License #RN726222 in PA)

🟢
Initial NPI Registration & Enumeration January 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316577620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2020
Last Update: January 12, 2026
Sole Proprietor: Yes

Mailing Address

3021 Carlee Run Ct

Ellicott City, MD 210422158

Phone: 6319741688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.