Claire-Elizabeth Perkins Agbu
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI 1396314696 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1396314696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 707 N Broadway
Baltimore, MD 21205-1832 - Phone
- (443) 923-1871
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126001747 | MD | Practitioner - Clinical Psychologist | 0840643714 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Krieger Associates | Current |
Accepting new patients | |
| Kennedy Krieger Associates | Current |
Accepting new patients |
Locations
707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870
1741 Ashland Ave
Ste 642
Baltimore, MD 21205
1741 Ashland Ave
Baltimore, MD 21205
Phone (443) 923-1842
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
707 N Broadway
Baltimore, MD 21205-1832
Mailing address
1741 Ashland Ave
Baltimore, MD 21205-1531
Other names
- Claire Elizabeth Perkins
Other providers in Baltimore, MD
- Grace Agboh
- Fadeke Adetoun Agboke
- Moses Agbonavbare
- Kayode Emmanuel Agboola
- Sean Agbor-Enoh
- Heather Agee
- Tracy Anne Agee
- Myrtis Marvell McCain Agen-Davis
- Gopal Aggarwal
- Sanjay Kumar Aggarwal
All providers in Baltimore, MD · Student in an Organized Health Care Education/Training Program 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 21, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.