NPIMap

Organization Active NPI

Sheppard Pratt Health System, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Millersville, MD
National Provider Identifier
1891021382
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
LETTER Issued in MD
Legal business name
SHEPPARD PRATT HEALTH SYSTEM, INC.
Practice address
648 Old Mill Rd
Millersville, MD 21108-1373
Phone
(410) 729-9181
Fax
(410) 729-3159
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 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, Bus Development & Support Ops
Phone
(410) 938-3150

Specialties & licenses 1

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

Addresses

Primary practice location

648 Old Mill Rd
Millersville, MD 21108-1373

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
LETTER OF LICENSEOtherMDMD SPECIAL EDUCATION LICENSE

Other names 1

  • Forbush School at Anne Arundel Other name

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

Locations

648 Old Mill Rd
Millersville, MD 21108
Phone (410) 222-3815

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1891021382",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 OLD MILL RD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081373",
            "telephone_number": "410-729-9181",
            "fax_number": "410-729-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD PRATT HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VP, BUS DEVELOPMENT & SUPPORT OPS",
        "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": "LETTER",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD SPECIAL EDUCATION LICENSE",
            "identifier": "LETTER OF LICENSE",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forbush School at Anne Arundel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.