NPIMap

Organization Active NPI

Shedrick Family Wellness

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1669197778
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHEDRICK FAMILY WELLNESS
Practice address
7000 Harford Rd
Baltimore, MD 21234-7704
Phone
(443) 438-5612
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Beatrice Shedrick
Title
Ceo
Phone
(443) 438-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7000 Harford Rd
Baltimore, MD 21234-7704

Mailing address

7000 Harford Rd
Baltimore, MD 21234-7704
Phone (443) 438-5612

Other identifiers 1

IdentifierTypeStateIssuer
99821700MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Shedrick Family Wellness Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1669197778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347704",
            "telephone_number": "443-438-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347704",
            "telephone_number": "443-438-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEDRICK FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-438-5612"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99821700",
            "state": "MD"
        }
    ],
    "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 Oct 11, 2022; 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.