SHEPPARD PRATT HEALTH SYSTEM, INC. (NPI# 1891021382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891021382 |
| Entity Type | Organization |
| Organization Name | SHEPPARD PRATT HEALTH SYSTEM, INC. |
| Other Organization Name | FORBUSH SCHOOL AT ANNE ARUNDEL |
| Practice Address |
648 Old Mill Rd Millersville MD 21108-1373 |
| Mailing Address |
6501 N Charles St Baltimore MD 21204-6819 |
| Practice Telephone | 4107299181 |
| Practice Fax Number | 4107293159 |
| Mailing Telephone | 4109383000 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | MS. BONNIE B. KATZ (VP, BUS DEVELOPMENT & SUPPORT OPS) |
| Authorized Official Telephone | 4109383150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
LETTER | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MD SPECIAL EDUCATION LICENSE | LETTER OF LICENSE | 01 |
| Other Name | Type Code |
|---|---|
| Forbush School at Anne Arundel | Other Name - Individual/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 |
648 OLD MILL RD |
| City | MILLERSVILLE |
| State | MD |
| Zip Code | 21108-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073666400 | Clarissa A Schoen | Physical Therapy Assistant | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-01-19 |
| 1003036922 | Deborah Lee Coleman | Registered Nurse | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-04-26 |
| 1710105523 | Marlene Margaret Romansky | Licensed Practical Nurse | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-04-24 |
| 1720206816 | Linda Gail Thompson | Registered Nurse | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-04-23 |
| 1699895086 | Wendy A Nicholson | Physical Therapist | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-03-30 |
| 1417077108 | Christina D. Nathar | Occupational Therapist | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-03-29 |
| 1194860056 | Kathleen Elaine Dorsett | Physical Therapist | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-02-20 |
| 1114062056 | Cristina Maria Pinto | Physical Therapist | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-02-20 |
| 1770622029 | Kira Renee Layng | Occupational Therapist | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-02-05 |
| 1023161445 | Janet Fox | Occupational Therapist | 648 Old Mill Rd, Millersville, MD 21108-1373 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
| 1154949816 | Rukiya Davis | Social Worker | Villa Maria Catholic Charities 1111 Benfield Blvd, Ste 200, Millersville, MD 21108 | 2020-07-09 |
| 1073175485 | Elaine Reed | Social Worker | 1111 Benfied Blvd Suite 104, Millersville, MD 21108 | 2019-07-05 |
| 1518431170 | Harbour House Inc | Community/Behavioral Health | 8354 Woodland Road, Millersville, MD 21108 | 2019-01-17 |
| 1235653817 | Jacob A Becker | Chiropractor | 683 Old Mill Road, Millersville, MD 21108 | 2017-07-26 |
| 1336669563 | Ilene Abigail Gruber | Social Worker | 1114 Benefield Blvd, Suite G, Millersville, MD 21108 | 2017-06-20 |
| 1700338654 | Lisa Maholchic | Social Worker | 1114 Befield Blvd, Unit G, Millersville, MD 21108 | 2016-10-26 |
| 1174962658 | Christy Joy Shiloh | Specialist | 649 Old Mill Road, Millersville, MD 21108 | 2013-06-18 |
| 1396022406 | Christina Triantafilidis | Physical Therapist | 8638 Veterans Hwy Fl 1, Millersville, MD 21108 | 2011-11-03 |
| 1316253180 | Anuj Bhatnagar | Family Medicine | 8601 Veterans Hwy Ste 200, Millersville, MD 21108 | 2010-08-31 |
| Find all providers in zip 21108 | ||||
| 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 |
|---|---|---|---|---|
| 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 | MILLERSVILLE |
| Zip Code | 21108 |
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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.