Charito Quintero-Howard Child and Adult Psychiatry
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Joppa, MD
NPI 1285044875 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1285044875
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CHARITO QUINTERO-HOWARD CHILD AND ADULT PSYCHIATRY
- Practice address
- 630 Towne Center Dr
Joppa, MD 21085-4440 - Phone
- (410) 510-7099
- Fax
- (410) 510-7955
- NPI assigned
- May 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Charito Quintero-Howard, M.D.
- Title
- Psychiatrist
- Phone
- (410) 510-7099
Corporate family (same tax ID) 7
Practitioners 6
-
Wendy Eileen Buck, LCSW-C
-
Elizabeth Turin, MD
-
Moses Ekemezie Ikejiofor, PMHNP
-
Alisha Shim, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150506001150 | MD | Part B Supplier - Clinic/Group Practice | 6901125368 |
Receives reassigned benefits from 6 practitioners Practice locations: Joppa, MD; Phoenix, MD; Towson, MD |
National Provider Directory
- Tax ID family
- Child and Adult Psychiatry Charito Quintero-Howard MD LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Pastoral Counselor |
101YP1600X | |||
| Psychologist |
103T00000X | |||
| Clinical Child & Adolescent Psychologist |
103TC2200X | |||
| Social Worker |
104100000X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Neurology Physician |
2084N0400X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
630 Towne Center Dr
Joppa, MD 21085-4440
Mailing address
13919 Green Branch Dr
Phoenix, MD 21131-1315
Phone (410) 510-7099
Other practice location 1
205 E Joppa Rd Ste 106
Towson, MD 21286-3203
Phone (410) 337-0007
Other names
- Child and Adult Psychiatry
Other providers in Joppa, MD
- Ashley Boyles
- Alaina Brenneman
- Blanche Rebecca Brown
- Elizabeth Woestman Capacio
- Anqunett Carter
- Nancy Ann Chase-Tauschman
- Balbir Singh Chauhan
- Child and Adult Psychiatry Charito Quintero-Howard, MD, LLC
- Child and Adult Psychiatry Charito Quintero-Howard, MD, LLC
- Child and Adult Psychiatry Charito Quintero-Howard, MD, LLC
All providers in Joppa, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.