Active NPI
Patrice Anderson, BSW
- Community/Behavioral Health Agency
- Owings Mills, MD
National Provider Identifier
1265079875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 9755 Mill Centre Dr Apt 529
Owings Mills, MD 21117-3981 - Phone
- (443) 804-6345
- NPI assigned
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9755 Mill Centre Dr Apt 529
Owings Mills, MD 21117-3981
Mailing address
9755 Mill Centre Dr Apt 529
Owings Mills, MD 21117-3981
Phone (443) 804-6345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-3371600 | Other | MD | IRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1265079875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 MILL CENTRE DR APT 529",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173981",
"telephone_number": "443-804-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 MILL CENTRE DR APT 529",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173981",
"telephone_number": "443-804-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PATRICE",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "83-3371600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.