IYAWAMIWA SHITTU (NPI# 1336791276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336791276 |
| Entity Type | Individual |
| Full Name | IYAWAMIWA SHITTU |
| Practice Address |
11 Chartley Drive Reisterstown MD 21136 |
| Practice Telephone | 4108337100 |
| Practice Fax Number | 4108330100 |
| Mailing Telephone | 4108337100 |
| Mailing Fax Number | 4108330100 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
BH0001834 | MD | Behavioral Health & Social Service Providers |
| Street Address |
11 CHARTLEY DRIVE |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376404 | Iot Behavioral Health Center Inc | Community/Behavioral Health | 11 Chartley Drive, Reisterstown, MD 21136-2001 | 2020-04-30 |
| 1821642349 | Derrick Henson | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-08-01 |
| 1669025128 | Akim Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136-6050 | 2019-07-23 |
| 1629620968 | Iot Behavioral Health Center Inc | Community/Behavioral Health | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| 1255662896 | Jung S Kim | Acupuncturist | 26 Bellinger Ct., Reisterstown, MD 21136 | 2010-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839968 | Dominique Rigney | Counselor | 139 Westminster Pike, Reisterstown, MD 21136-1026 | 2020-10-23 |
| 1457381618 | Mind Body and Balance | Counselor | 324 Main Street, 2nd Fl, Reisterstown, MD 21136 | 2006-07-04 |
| 1083241897 | Joshua Mandell | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2020-03-24 |
| 1275177263 | Chelsea Christine Bope | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2019-11-01 |
| 1821642349 | Derrick Henson | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-08-01 |
| 1669025128 | Akim Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136-6050 | 2019-07-23 |
| 1598236689 | Dorothy Elise Wheeless | Counselor | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-12-16 |
| 1811466089 | Christy Evelyn Spacek | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2018-11-17 |
| 1023526928 | Rachel Bacon | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2018-01-14 |
| 1407233927 | Andrea Courtney Johnson | Counselor | 143 Main St, Reisterstown, MD 21136-1249 | 2015-05-05 |
| Find all providers in REISTERSTOWN | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
Please comment or provide details below to improve the information on IYAWAMIWA SHITTU.
| 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.