SHEPPARD PRATT HEALTH SYSTEM, INC. (NPI# 1699027219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699027219 |
| Entity Type | Organization |
| Organization Name | SHEPPARD PRATT HEALTH SYSTEM, INC. |
| Other Organization Name | HANNAH MORE SCHOOL |
| Practice Address |
12039 Reisterstown Rd Reisterstown MD 21136-3042 |
| Practice Telephone | 4105265000 |
| Practice Fax Number | 4105267631 |
| Mailing Telephone | 4105265000 |
| Mailing Fax Number | 4105267631 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | MS. BONNIE B. KATZ (VP BUSINESS DEV AND SUPPORT OPS) |
| Authorized Official Telephone | 4109383154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4213556 | 05 |
| Other Name | Type Code |
|---|---|
| Hannah More School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629247051 | Sheppard Pratt Health System, Inc. | Clinic/Center | 610 E Diamond Ave Ste E, Gaithersburg, MD 20877-5332 | 2008-02-29 |
| 1225216948 | Sheppard Pratt Health System, Inc. | Clinic/Center | 11201 Pepper Rd, Hunt Valley, MD 21031-1201 | 2008-02-05 |
| 1811041163 | Sheppard Pratt Health System, Inc. | Clinic/Center | 407 Central Ave, Reisterstown, MD 21136-1854 | 2007-01-23 |
| 1104970565 | Sheppard Pratt Health System, Inc. | Clinic/Center | 17000 National Hwy Nw, Frostburg, MD 21532-3206 | 2007-01-23 |
| 1518011659 | Sheppard Pratt Health System, Inc. | Clinic/Center | 2940 Point of Rocks Road, Jefferson, MD 21755-0009 | 2007-01-23 |
| 1861546566 | Sheppard Pratt Health System, Inc. | Clinic/Center | 17051 Oakmont Ave, Gaithersburg, MD 20877-4142 | 2007-01-22 |
| 1922152578 | Sheppard Pratt Health System, Inc. | Clinic/Center | 2001 Shadyside Ave, Suitland, MD 20746-4805 | 2007-01-22 |
| 1093869679 | Sheppard Pratt Health System, Inc. | Clinic/Center | 4915 Aspen Hill Rd, Rockville, MD 20853-3709 | 2007-01-22 |
| 1932253598 | Sheppard Pratt Health System, Inc. | Clinic/Center | 1135 Business Pkwy S, Westminster, MD 21157-3019 | 2007-01-22 |
| 1851324164 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21041-0836 | 2006-07-09 |
| Street Address |
12039 REISTERSTOWN RD |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932220647 | Davis Hall Shingleton | Psychiatry & Neurology | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2007-04-02 |
| 1598236689 | Dorothy Elise Wheeless | Counselor | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-12-16 |
| 1942770375 | Dawn Rae Bottorff | Social Worker | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-11-28 |
| 1356810378 | Susan Kardash Bellamy | Social Worker | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-11-20 |
| 1477022333 | James Michael Russo | Social Worker | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-11-20 |
| 1730658691 | Gina Maria Cinquegrani | Social Worker | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-11-20 |
| 1073082947 | Anne M. Sheehan | Social Worker | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-11-20 |
| 1063909984 | Adelia Sabintsev | Psychologist | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-04-16 |
| 1770920332 | Lacey S Appelbaum | Speech-Language Pathologist | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2013-05-22 |
| 1376766550 | Hannah More Center, Inc. | Psychologist | 12039 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 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 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811041163 | Sheppard Pratt Health System, Inc. | Clinic/Center | 407 Central Ave, Reisterstown, MD 21136-1854 | 2007-01-23 |
| 1346853116 | Best Life Counseling | Clinic/Center | 100 Owings Ct Ste 12, Reisterstown, MD 21136-6434 | 2020-08-31 |
| 1457642274 | Sheppard Pratt Health System, Inc. | Clinic/Center | 407 Central Ave, Reisterstown, MD 21136-1854 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209815 | Stride Forward Counseling LLC | Clinic/Center | 9 Newburg Ave Ste 102, Catonsville, MD 21228-5157 | 2020-09-15 |
| 1033724513 | S and S Properties 3 | Clinic/Center | 6122 Reisterstown Rd, Baltimore, MD 21215-3423 | 2020-09-11 |
| 1205440195 | Kevin Eugene Harvell | Clinic/Center | 3435 Greenmount Ave Ste 1, Baltimore, MD 21218-2942 | 2020-09-08 |
| 1528679834 | Erc Maryland | Clinic/Center | 7505 Osler Dr Ste 405, Towson, MD 21204-7739 | 2020-08-11 |
| 1245879386 | Anne Arundel County, Maryland | Clinic/Center | 839 Bestgate Rd Ste 300, Annapolis, MD 21401-3473 | 2020-01-06 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1841847241 | Imperial Healthcare Services LLC | Clinic/Center | 547 Riverside Dr Ste A, Salisbury, MD 21801-5369 | 2019-08-20 |
| 1437714862 | Bolton Therapy & Wellness | Clinic/Center | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| 1497213581 | Pathways Inc | Clinic/Center | 2670 Crain Hwy Ste 300, Waldorf, MD 20601-2817 | 2019-03-07 |
| 1629553037 | Win Team, LLC | Clinic/Center | 7 Pleasant View Chrurch Road, Port Deposit, MD 21904 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.