UNIVERSITY CARE (NPI# 1629210166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629210166 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY CARE |
| Practice Address |
4538 Edmondson Ave Baltimore MD 21229-1506 |
| Mailing Address |
Po Box 64888 Baltimore MD 21264-4888 |
| Practice Telephone | 4103282273 |
| Practice Fax Number | 3016311002 |
| Mailing Telephone | 4103282273 |
| Mailing Fax Number | 3016311002 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | TRENT SMITH (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 4103281184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 400506600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555061 | University Care | Home Health | 1716 Flat River Dr Apt 104, Charlotte, NC 28262-5345 | 2009-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | UNIVERSITY CARE CENTER INC | P O Box 330, Muncie, IN 47305 |
| System for Award Management (SAM) Entities | UNIVERSITY CARE PLUS | 6410 Fannin St Ste 1500, Houston, TX 77030-5303 |
| Street Address |
4538 EDMONDSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473551 | Etosha D Dixon | Family Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-04-01 |
| 1851907141 | Time Organization, Inc. | Community/Behavioral Health | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2020-09-22 |
| 1063512200 | Catharine Louise Weiss | Psychologist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-09-25 |
| 1497760276 | University Care LLC | Internal Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-30 |
| 1134153034 | Neil Siegel | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-10 |
| 1275565251 | Marc Wilson | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-07 |
| 1164454005 | Joyce Evans | Family Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-07 |
| 1245269018 | Stacy Garrett | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-02 |
| 1306885280 | Ivara Alistair Esege | Specialist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346790466 | Empathkare | Psychologist | 2408 Smith Ave, Baltimore, MD 21209-2634 | 2016-10-12 |
| 1144481193 | Noel Smith | Psychologist | 1002 E Patapsco Ave, Baltimore, MD 21225-2229 | 2008-06-23 |
| 1386762706 | Natasha Durant | Psychologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083273635 | Rahimatou N/a Nkwanui | Psychologist | 16 Bannington Dr Uppr Marlboro, Upper Marlboro, MD 20774-1438 | 2019-06-07 |
| 1962916973 | Asumta Ngum Tumasang | Psychologist | 9704 Mount Pisgah Rd Apt 101, Silver Spring, MD 20903 | 2017-11-29 |
| 1235296567 | James J Lynch Pa | Psychologist | 606 Baltimore Ave, Suite 200, Towson, MD 21204-4026 | 2007-01-03 |
| 1851471999 | Jennifer Jean Bodart | Psychologist | 1050 W Perimeter Rd, Malcolm Grow Medical Center, Andrews Afb, MD 20762-6601 | 2006-10-16 |
| 1659310431 | Irance' Reddix | Psychologist | 122 Slade Ave, Suite 101, Pikesville, MD 21208-4915 | 2006-06-06 |
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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.