Shedrick Family Wellness

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SHEDRICK FAMILY WELLNESS

Practice address

1216 Walters Ave
Baltimore, MD 21239-2826

Phone

(443) 483-5612

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Beatrice Shedrick

Title

Owner

Phone

(443) 509-2159

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1245955350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 WALTERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392826",
            "telephone_number": "443-483-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 WALTERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392826",
            "telephone_number": "443-483-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEDRICK FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-509-2159"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99821700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Beatriceshedrick@shedrickfamilywellness.com",
            "affiliation": "N",
            "address_1": "7000 Harford Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212347704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• D'Angelo Lamar Shears
• Benjamin Sheber
• Audra Shedeck, C.R.N.P.
• Shedrick Family Wellness
• Shedrick Family Wellness
• Shedrick Family Wellness
• Shedrick Family Wellness
• Shedrick Family Wellness
• Shedrick Family Wellness
• Shedrick Family Wellness, Inc

• Mental Illness Community Based Residential Treatment Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Illness Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.