NPIMap

Organization Active NPI

Sheppard Pratt Health System, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Frostburg, MD
National Provider Identifier
1104970565
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
0000 Issued in MD
Legal business name
SHEPPARD PRATT HEALTH SYSTEM, INC.
Practice address
17000 National Hwy NW
Frostburg, MD 21532-3206
Phone
(301) 777-2258
Fax
(301) 777-2364
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Bonnie B Katz
Title
VP Corporate Business Development
Phone
(410) 938-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0000 MD Primary

Addresses

Primary practice location

17000 National Hwy NW
Frostburg, MD 21532-3206

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-3150

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherMDTENTATIVE APPR LTR

Other names 1

  • Jefferson School at Eckhart Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gatonsville Day Hospita26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

17000 National Hwy NW
Frostburg, MD 21532
Phone (301) 777-2258

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1104970565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3150",
            "fax_number": "410-938-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 NATIONAL HWY NW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215323206",
            "telephone_number": "301-777-2258",
            "fax_number": "301-777-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD PRATT HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP CORPORATE BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "410-938-3150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENTATIVE APPR LTR",
            "identifier": "00000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson School at Eckhart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frostburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.