DR. KERI SHIELS ROSCH (NPI# 1255775284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255775284 |
| Entity Type | Individual |
| Full Name | DR. KERI SHIELS ROSCH |
| Credential | PH.D. |
| Practice Address |
716 N Broadway Baltimore MD 21205-1806 |
| Practice Telephone | 7164749813 |
| Mailing Telephone | 7164749813 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
716 N BROADWAY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629260955 | Angela Fadely | Psychologist | 716 N Broadway, Baltimore, MD 21205-1806 | 2007-08-10 |
| 1265951404 | Faye Park | Psychiatry & Neurology | 716 N Broadway, Baltimore, MD 21205-1806 | 2017-09-19 |
| 1558819243 | Emily Hoppe | Nurse Practitioner | 716 N Broadway, Department of Psychiatry C/o Ron Roloson, Baltimore, MD 21205-1806 | 2016-09-12 |
| 1407234016 | Andrea Young | Psychologist | 716 N Broadway, Baltimore, MD 21205-1806 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
| Find all providers in zip 21205 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
| 1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
| 1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
| 1972898062 | Joseph Jason Van Steenburgh | Clinical Neuropsychologist | 1629 Thames St Ste 350, Division of Cognitive Neurology, Baltimore, MD 21231-3440 | 2011-06-16 |
| 1346554011 | Lindsey Elizabeth Kirsch-darrow | Clinical Neuropsychologist | Physical Medicine and Rehab 600 North Wolfe St, Phipps 174, Baltimore, MD 21287-0001 | 2010-08-04 |
| 1366699076 | Sally Long | Clinical Neuropsychologist | 600 N. Wolfe St, Meyer 218, Baltimore, MD 21287-7218 | 2008-08-25 |
| 1326236571 | Brenda Hanna-pladdy | Clinical Neuropsychologist | 110 S Paca Street 3rd Floor, University of Maryland School of Medicine, Baltimore, MD 21201 | 2007-10-11 |
| 1972116200 | Kalina Eneva Hurley | Clinical Neuropsychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-08-26 |
| 1396356077 | Jessica Cinda Dalrymple | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-14 |
| 1457960650 | Marilyn Albert | Clinical Neuropsychologist | 1620 Mcelderry St, Baltimore, MD 21205-1911 | 2020-07-24 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.