DR. PRISCILLA WALDO SHELDON (NPI# 1003061771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003061771 |
| Entity Type | Individual |
| Full Name | DR. PRISCILLA WALDO SHELDON |
| Credential | M.D., PH.D. |
| Practice Address |
1001 W Pratt St Baltimore MD 21223-2679 |
| Practice Telephone | 4109627180 |
| Practice Fax Number | 4109627194 |
| Mailing Telephone | 4109627180 |
| Mailing Fax Number | 4109627194 |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2010-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
D0093200 | MD | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0093200 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1001 W PRATT ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497701783 | Baltimore Behavioral Health, Inc. | Clinic/Center | 1001 W Pratt St, Baltimore, MD 21223-2662 | 2006-05-26 |
| 1346841665 | Raymond Velencia | Counselor | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2020-11-03 |
| 1033517727 | Caring Hands Amdc of Greater Baltimore, Inc | Clinic/Center | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2014-12-11 |
| 1821409038 | Britt A.l. Gayle | Family Medicine | 1001 W Pratt St, Baltimore, MD 21223 | 2014-05-12 |
| 1649694001 | Charlene Briddell | Counselor | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2014-02-05 |
| 1497178727 | Ngozika P Okoye | Nurse Practitioner | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2014-01-22 |
| 1992058549 | Baltimore Behavioral Health | Community/Behavioral Health | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2012-10-19 |
| 1679834592 | Gregory M Burnett | Preventive Medicine | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2012-06-07 |
| 1013208198 | Aaron David Greenblatt | Family Medicine | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2011-04-25 |
| 1497056543 | Alexis Jordan Tchuise | Counselor | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2010-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
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| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649317264 | Marc Judah Fishman | Psychiatry & Neurology | 3800 Frederick Avenue, Na, Baltimore, MD 21229-3618 | 2007-01-31 |
| 1861599490 | Rhonda Lynn Allen | Psychiatry & Neurology | 5401 Loch Raven Blvd Fl 2, Baltimore, MD 21239-2902 | 2006-09-17 |
| 1508811936 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 3800 Frederick Ave, Baltimore, MD 21229-3618 | 2006-05-24 |
| 1659333946 | David A. Gorelick | Psychiatry & Neurology | 5500 Nathan Shock Dr, Baltimore, MD 21224-6823 | 2006-04-04 |
| 1881080653 | Darryl M Coleman Md Pa | Psychiatry & Neurology | 2125 Maryland Ave, Suites 109 & 110, Baltimore, MD 21218-5634 | 2015-04-08 |
| 1205097391 | Aisosioya A Williams | Psychiatry & Neurology | 1501 Division St, Baltimore, MD 21217-3121 | 2008-06-20 |
| 1184801813 | Neeraj Gandotra | Psychiatry & Neurology | 4940 Eastern Ave, Jhbmc, Baltimore, MD 21224-2735 | 2008-01-24 |
| 1508950015 | Marian Currens | Psychiatry & Neurology | 827 Linden Ave, Baltimore, MD 21201-4606 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740631951 | Carrie Schmitt | Psychiatry & Neurology | 8470 Dorsey Run Rd, Jessup, MD 20794-9486 | 2016-06-29 |
| 1871999276 | Bergand Group | Psychiatry & Neurology | 1803 Harford Rd, Fallston, MD 21047 | 2014-11-12 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1164688677 | Jack Laurence Wapner | Psychiatry & Neurology | 11100 Liberty Rd, Suite F, Randallstown, MD 21133-1026 | 2008-08-04 |
| 1003018813 | Donald Harry Taylor | Psychiatry & Neurology | 4545 Crain Hwy, Substance Abuse Services, White Plains, MD 20695-1050 | 2007-06-04 |
| 1831284769 | Syed Asif H Ali | Psychiatry & Neurology | 13102 Autumn Dr, Silver Spring, MD 20904-3307 | 2006-10-04 |
| 1952404840 | Samathanam N Abraham | Psychiatry & Neurology | 13207 Valley Dr, Rockville, MD 20850-3626 | 2006-09-06 |
| 1174634869 | Indu Mago Sud | Psychiatry & Neurology | 17958 Pond Rd, Ashton, MD 20861-9756 | 2006-08-31 |
| 1619082005 | Maryland Treatment Centers, Inc. | Psychiatry & Neurology | 14703 Avery Rd, Rockville, MD 20853-3605 | 2006-08-19 |
| 1063997708 | The Bergand Group LLC | Psychiatry & Neurology | 1300 York Rd, Lutherville, MD 21093-6016 | 2018-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.