Seppk

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

M05267 Issued in MD

Legal business name

SEPPK

Doing business as

Chevi Natural Healing

Practice address

1224 W Old Liberty Rd
Sykesville, MD 21784-9327

Phone

(410) 875-7284

Fax

(410) 875-7284

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Prof. Deuk B Kong, LMT

Title

Therapsit

Phone

(410) 875-7284

Specialties & licenses 1

Addresses

Other names 1

• Chevi Natural Healing Doing business as

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1417489295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W OLD LIBERTY RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849327",
            "telephone_number": "410-875-7284",
            "fax_number": "410-875-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 W OLD LIBERTY RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849327",
            "telephone_number": "410-875-7284",
            "fax_number": "410-875-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPPK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "DEUK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "THERAPSIT",
        "authorized_official_telephone_number": "410-875-7284",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MD",
            "license": "M05267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chevi Natural Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonnalagadda S Sastry
• Christian Schneider
• Kate Masten Schrumpf, PSYD
• Mariah Siobhan Scott, LCPC
• Nile Seaborn, PA
• Serenity Health Center
• Manuez De Jesus Sevilla, MD
• Shahida Siddiqi MD PA (Eldersburg Medical Practice)
• Vaishali Sheth, PHARMD
• Shahida Siddiqi, MD

• Physical Disabilities Residential Treatment Facility in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Physical Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.