NPIMap

Organization Active NPI

Mosaic Community Services, Inc.

Doing business as Sheppard Pratt

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belcamp, MD
National Provider Identifier
1861844706
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOSAIC COMMUNITY SERVICES, INC.
Doing business as
Sheppard Pratt
Practice address
4510 Wharf Point CT
Belcamp, MD 21017-1212
Phone
(410) 453-9553
NPI assigned
Jul 3, 2016
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Sue Kessler
Title
Director, Revenue Cycle
Phone
(410) 382-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4510 Wharf Point CT
Belcamp, MD 21017-1212

Mailing address

849 Fairmount Ave FL 5
Towson, MD 21286-2624
Phone (410) 382-8111

Other practice location 1

1040 Hardees Dr Ste F
Aberdeen, MD 21001
Phone (410) 273-1399

Other identifiers 1

IdentifierTypeStateIssuer
230814548OtherMDMHH BHA LICENSE

Other names 1

  • Sheppard Pratt Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Community Services Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

1040 Hardees Dr
Ste F
Aberdeen, MD 21001
Phone (410) 273-1399

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1861844706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE FL 5",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862624",
            "telephone_number": "410-382-8111",
            "fax_number": "443-612-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 WHARF POINT CT",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171212",
            "telephone_number": "410-453-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Hardees Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "21001",
            "country_code": "US",
            "telephone_number": "410-273-1399",
            "fax_number": "410-273-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSAIC COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-03",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "410-382-8111"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHH BHA LICENSE",
            "identifier": "230814548",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheppard Pratt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belcamp, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.