Mr. Mark Anthony Bergonia Ison
CRNP- PMH | Nurse Practitioner - Psych/Mental Health | 8+ years Exp
1501 Sulgrave Ave Ste 200, Baltimore
Maryland, 21209-3650
443-708-5856
Mr. Mark Anthony Bergonia Ison is a Baltimore, Maryland based nurse practitioner with 8 years of experience as Psych/Mental Health NP. He completed his graduation in 2018. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Mark Anthony Bergonia Ison is R181848 for Psych/Mental Health NP in Maryland. His current practice location is 1501 Sulgrave Ave Ste 200, Baltimore. Patients can reach him at 443-708-5856. Mr. Mark Anthony Bergonia Ison is CRNP- PMH with specialization in Psych/Mental Health NP and his NPI number (Unique professional ID assigned by NPPES) is 1881152783.
Mr. Mark Anthony Bergonia Ison provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Mark Anthony Bergonia Ison speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Mark Anthony Bergonia Ison |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Male |
| Credentials: | CRNP- PMH |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1501 Sulgrave Ave Ste 200, Baltimore,
Maryland, 21209-3650 |
| Phone: | 443-708-5856 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2961834361 |
| Enrollment ID: | I20191122000569 |
| NPI Number: | 1881152783 |
| NPI Enumeration Date: | 09 Mar, 2019 |
| NPI Last Update On: | 09 Mar, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mark Anthony Bergonia Ison are as mentioned below.
| License Number | Specialization | State | Status | |
| R181848 | Psych/Mental Health NP | Maryland | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Mark Anthony Bergonia Ison is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Wellness Legacy Llc (1052743457) | 3 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Mark Anthony Bergonia Ison
1501 Sulgrave Ave Ste 200,
Baltimore, Maryland |
| Zip: | 21209-3650 |
Patients can reach Mr. Mark Anthony Bergonia Ison at
1501 Sulgrave Ave Ste 200, Baltimore, Maryland or can
call to book an appointment on 443-708-5856.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.