Organization Active NPI

S Barbara Perry LLC

  • Adult Mental Health Clinic/Center
  • Towson, MD
National Provider Identifier
1366740078
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
07087 Issued in MD
Legal business name
S BARBARA PERRY LLC
Practice address
25 W Chesapeake Ave
Towson, MD 21204-4820
Phone
(410) 984-3362
Fax
(410) 339-3475
NPI assigned
Mar 3, 2011
Last updated
Mar 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Ms. Stephanie Barbara Perry, MSWNPI 1144362260
Title
LCSW-C
Phone
(410) 984-3362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 07087 MD Primary

Addresses

Primary practice location

25 W Chesapeake Ave
Towson, MD 21204-4820

Mailing address

25 W Chesapeake Ave
Towson, MD 21204-4820
Phone (410) 984-3362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110325000004 MD Part B Supplier - Clinic/Group Practice 2769665934 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbine, MD

National Provider Directory

National Provider Directory

Locations

25 W Chesapeake Ave
Towson, MD 21204
Phone (410) 984-3362

25 W Chesapeake Ave
Ste 202
Towson, MD 21204
Phone 41033934747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1366740078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CHESAPEAKE AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044820",
            "telephone_number": "410-984-3362",
            "fax_number": "410-339-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W CHESAPEAKE AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044820",
            "telephone_number": "410-984-3362",
            "fax_number": "410-339-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S BARBARA PERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "LCSW-C",
        "authorized_official_telephone_number": "410-984-3362",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "07087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.