Active NPI
Shoshana Lewin, Psy.D., LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
National Provider Identifier
1609237973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 05639
- Legal business name
- SHOSHANA LEWIN, PSY.D., LLC
- Practice address
- 17 Warren Rd
Suite 3a
Baltimore, MD 21208-5334 - Phone
- (773) 343-4905
- Fax
- (443) 450-3409
- NPI assigned
- Mar 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shoshana Lewin, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (773) 343-4905
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 05639 | MD | Primary |
Addresses
Primary practice location
17 Warren Rd
Suite 3a
Baltimore, MD 21208-5334
Mailing address
17 Warren Rd
Suite 3a
Baltimore, MD 21208-5334
Phone (773) 343-4905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5721 Park Heights Ave
Baltimore, MD 21215
Phone (410) 236-7546
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Baltimore, MD
- NPI 1932286044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458000000000",
"number": "1609237973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WARREN RD",
"address_2": "SUITE 3A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212085334",
"telephone_number": "773-343-4905",
"fax_number": "443-450-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WARREN RD",
"address_2": "SUITE 3A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212085334",
"telephone_number": "773-343-4905",
"fax_number": "443-450-3409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOSHANA LEWIN, PSY.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A",
"authorized_official_last_name": "LEWIN",
"authorized_official_first_name": "SHOSHANA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "773-343-4905",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MD",
"license": "05639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.