Severna Park Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

A01790 Issued in MD

Legal business name

SEVERNA PARK CENTER

Practice address

8671 Scorton Harbour
Pasadena, MD 21122-6513

Phone

(410) 360-2719

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Shannon Mueller, PHR

Title

HR Associate

Phone

(610) 925-4148

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Britt Small, COTA/L

  • Occupational Therapy Assistant
  • Severna Park, MD
  • NPI 1730466186
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1295011302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 SCORTON HARBOUR",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226513",
            "telephone_number": "410-360-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 SCORTON HARBOUR",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226513",
            "telephone_number": "410-360-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERNA PARK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "HR ASSOCIATE",
        "authorized_official_telephone_number": "610-925-4148",
        "authorized_official_credential": "PHR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "A01790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "245037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA/L",
            "identifier": "A01790",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Gerard Seaman, MD
• Haifaa Sebiti-Fahie
• Shalia Seibles, LGPC
• Tenzin Sengye, DDS
• Senior House Calls
• Anthony Shahata, DMD
• Karen Lynn Shannon, PAC
• Rajani Sharma-Abbott, OT
• Barbara Lynn Shavatt, LCSW-C
• Ayona Shelton

• Skilled Nursing Facility in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.