Active NPI
Sheppard Pratt Non Contracted Services, LLC
- Psychiatry Physician
- Towson, MD
National Provider Identifier
1194347575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SHEPPARD PRATT NON CONTRACTED SERVICES, LLC
- Practice address
- 6525 N. Charles Street
Gibson Building
Towson, MD 21204 - Phone
- (410) 938-5400
- NPI assigned
- May 8, 2020
- Last updated
- May 8, 2020
- Organization subpart
- Yes
- Parent organization
- SHEPPARD PRATT HEALTH SYSTEM, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly Savoca
- Title
- VP & Cfo
- Phone
- (410) 938-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
6525 N. Charles Street
Gibson Building
Towson, MD 21204
Mailing address
6501 N Charles St
Towson, MD 21204-6819
Phone (410) 938-5400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | GE |
National Provider Directory
National Provider Directory- Tax ID family
- Sheppard Pratt Non Contracted Services LLC
- Part of
- Sheppard Pratt Health System Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Baltimore, MD
- NPI 1205438710
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1700545811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588896000000",
"number": "1194347575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 N CHARLES ST",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046819",
"telephone_number": "410-938-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 N. CHARLES STREET",
"address_2": "GIBSON BUILDING",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-938-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEPPARD PRATT NON CONTRACTED SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHEPPARD PRATT HEALTH SYSTEM, INC.",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A",
"authorized_official_last_name": "SAVOCA",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "VP & CFO",
"authorized_official_telephone_number": "410-938-5400",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "GE",
"affiliation": "N",
"address_1": "6501 N Charles St",
"city": "Towson",
"state": "MD",
"country_code": "US",
"postal_code": "212046819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.