NPIMap

Organization Active NPI

Sheppard Pratt Health System, Inc.

Doing business as Forbush School at Westminster

  • Adolescent and Children Mental Health Clinic/Center
  • Westminster, MD
National Provider Identifier
1932253598
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
3854 Issued in MD
Legal business name
SHEPPARD PRATT HEALTH SYSTEM, INC.
Doing business as
Forbush School at Westminster
Practice address
1135 Business Pkwy S
Westminster, MD 21157-3019
Phone
(410) 386-0460
Fax
(410) 386-0465
NPI assigned
Jan 22, 2007
Last updated
Aug 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 3854 MD Primary

Addresses

Primary practice location

1135 Business Pkwy S
Westminster, MD 21157-3019

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-3150

Other identifiers 1

IdentifierTypeStateIssuer
3854OtherMDLICENSE

Other names 1

  • Forbush School at Westminster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sheppard Pratt Health System Inc26 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

1135 Business Pkwy S
Westminster, MD 21157
Phone (410) 386-0460

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": "1249862400000",
    "number": "1932253598",
    "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": "410-938-3150",
            "fax_number": "410-938-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BUSINESS PKWY S",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573019",
            "telephone_number": "410-386-0460",
            "fax_number": "410-386-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD PRATT HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-08-10",
        "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": "3854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3854",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forbush School at Westminster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.