Sheppard Pratt Physicians PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHEPPARD PRATT PHYSICIANS PA

Practice address

6501 N Charles St
Baltimore, MD 21204-6819

Phone

(410) 938-3150

Fax

(410) 938-3159

NPI assigned

Nov 24, 2008

Last updated

Jan 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie B Katz

Title

VP Business Development and Sup Ops

Phone

(410) 938-3150

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Behavioral Health Partners - Fpca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Behavioral Health Partners - Fpca

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1760925978
  NPD tax ID

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1497900021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3150",
            "fax_number": "410-938-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3150",
            "fax_number": "410-938-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD PRATT PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT AND SUP OPS",
        "authorized_official_telephone_number": "410-938-3150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102411600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Non Contracted Services, LLC
• Sheppard Pratt Non Contracted Services, LLC
• Sheppard Pratt Physicians, P.a.
• Kayla Imani Sheppard
• Maurice Sheppard, MD
• Shannon Sheppard, PHD
• Nageen Ali Sherani

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.