Johns Hopkins Personalized Care

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JOHNS HOPKINS PERSONALIZED CARE

Practice address

10751 Falls Rd Ste 303
Timonium, MD 21093-4551

Phone

(410) 933-1200

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shavonda Keating

Title

Dir Provider Enrollment

Phone

(410) 302-2229

Specialties & licenses 1

Addresses

Tax ID family

Johns Hopkins Personalized Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Johns Hopkins Personalized Care

  • Internal Medicine Physician
  • Timonium, MD
  • NPI 1669247086
  NPD tax ID

Locations

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1184489791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 FALLS RD STE 303",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934551",
            "telephone_number": "410-933-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS PERSONALIZED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_title_or_position": "DIR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "410-302-2229"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Per K Jensen, OT
• Amber Jobe, CRNP
• Anush John, MD, D.MIN, DMD
• Johns Hopkins Community Physicians, Inc (JHCP - 2360 W Joppa Rd Ste 320 - Provider Type: 20 - Physicia)
• Johns Hopkins Community Physicians, Inc
• Johns Hopkins Personalized Care
• Johns Hopkins University (Jhu - 2600 Pot Spring Rd - Provider Type: 20-Physician)
• Johns Hopkins University (Jhu - 110 W Timonium Rd Ste 100 - Provider Type: 20 - Physician)
• Johns Hopkins University (Jhu -2360 W Joppa Rd Ste 205 - Provider Type: 20-Physician)
• Johns Hopkins University (Jhu - 2360 W Joppa Rd Ste 320 - Provider Type: 20-Physician)

• Psychiatry Physician in Timonium, MD
• Providers in Timonium, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.