NPIMap

Organization Active NPI

Shedrick Family Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1922712967
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SHEDRICK FAMILY WELLNESS
Practice address
7000 Harford Rd
Baltimore, MD 21234-7704
Phone
(443) 438-5612
NPI assigned
Jan 12, 2023
Organization subpart
Yes
Parent organization
SHEDRICK FAMILY WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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) 509-2159

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7000 Harford Rd
Baltimore, MD 21234-7704

Mailing address

7000 Harford Rd
Baltimore, MD 21234-7704

National Provider Directory

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

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": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1922712967",
    "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"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "SHEDRICK FAMILY WELLNESS",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-509-2159"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "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 Jan 12, 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.