Organization Active NPI

Sheppard Pratt Non Contracted Services, LLC

  • Psychiatry Physician
  • Towson, MD
National Provider Identifier
1194347575
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SHEPPARD PRATT HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2020

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL GE

National Provider Directory

National Provider Directory
Tax ID family
Sheppard Pratt Non Contracted Services LLC3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.