Organization Active NPI

Erc Maryland

  • Psychiatry Physician
  • Hunt Valley, MD
National Provider Identifier
1467060665
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ERC MARYLAND
Practice address
101 Schilling Rd Ste Aand40B
Hunt Valley, MD 21031-1104
Phone
(877) 825-8584
NPI assigned
Jul 14, 2020
Organization subpart
Yes
Parent organization
ERC MARYLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Marina Shepel
Title
Contracting Manager
Phone
(425) 214-9321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

101 Schilling Rd Ste Aand40B
Hunt Valley, MD 21031-1104

Mailing address

7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083

Other names 2

  • ERC Insight MD Professional Services Doing business as
  • Eating Recovery of Maryland Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL marina.shepel@eatingrecovery.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Erc Maryland5 organizations share this tax ID, including this one
Part of
Erc Maryland

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6535 N Charles St
Ste 300
Towson, MD 21204
Phone (410) 427-3900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1467060665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 E LOWRY BLVD STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SCHILLING RD STE AAND40B",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311104",
            "telephone_number": "877-825-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERC MARYLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERC MARYLAND",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "SHEPEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "425-214-9321"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marina.shepel@eatingrecovery.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6535 N Charles St Ste 300",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212045824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ERC Insight MD Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eating Recovery of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.