NPIMap

Organization Active NPI

Sheppard Pratt Health System, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1861546566
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
298 Issued in MD
Legal business name
SHEPPARD PRATT HEALTH SYSTEM, INC.
Practice address
17051 Oakmont Ave
Gaithersburg, MD 20877-4142
Phone
(301) 947-3761
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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 Corporate Business Development
Phone
(410) 938-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 298 MD Primary

Addresses

Primary practice location

17051 Oakmont Ave
Gaithersburg, MD 20877-4142

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-3000

Other identifiers 1

IdentifierTypeStateIssuer
681500604MedicaidMD

Other names 1

  • Forbush School at Oakmont, Lower Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gatonsville Day Hospita26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1861546566",
    "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": "410-938-3000",
            "fax_number": "410-938-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 OAKMONT AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774142",
            "telephone_number": "301-947-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD PRATT HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "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 CORPORATE BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "410-938-3150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681500604",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forbush School at Oakmont, Lower Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • 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.