University of Maryland Medical Center, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
NPI 1992896013 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1992896013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
- Practice address
- 701 W Pratt St
Fifth Floor
Baltimore, MD 21201-1023 - Phone
- (410) 328-2564
- Fax
- (410) 328-0096
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- George Sprinkel
- Title
- Cfo
- Phone
- (410) 328-1501
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 16
Member of 1
Practitioners 8
-
Curtis N Adams, MD
-
Ann L Hackman, M.D
-
Ann Patricia Worth, FNP
-
Rachael Funk, LCSW-C
-
Joey Sliwkowski, CRNA
-
Alex Mallari, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040427000918 | MD | Part B Supplier - Clinic/Group Practice | 7113914771 |
Receives reassigned benefits from 148 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD |
| O20240322001322 | MD | Part B Supplier - Clinic/Group Practice | 7113379256 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Baltimore, MD |
National Provider Directory
- Tax ID family
- Univ of MD Med Ctr LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
701 W Pratt St
Fifth Floor
Baltimore, MD 21201-1023
Mailing address
PO Box 64277
Baltimore, MD 21264-4277
Phone (410) 328-7037
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065180000 | Medicaid | MD |
Other names
- UMMC Programs of Assertive Community Treatment
Other providers in Baltimore, MD
- University of Maryland Medical Center, LLC
- University of Maryland Medical Center, LLC
- University of Maryland Medical Center, LLC
- University of Maryland Medical Center, LLC
- University of Maryland Medical Center, LLC
- University of Maryland Medical Center, Oats
- University of Maryland Medical Regional Professional Services, LLC
- University of Maryland Medical Regional Professional Services, LLC
- University of Maryland Medical System
- University of Maryland Medical System
All providers in Baltimore, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.