DEBOBETH MEDICAL CENTER (NPI# 1467087031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467087031 |
Entity Type | Organization |
Organization Name | DEBOBETH MEDICAL CENTER |
Practice Address |
3109 Erdman Ave Baltimore MD 21213-1719 |
Practice Telephone | 4108694602 |
Mailing Telephone | 4108694602 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |
Authorized Official Name | MERCY O FADOJU (DIRECTOR) |
Authorized Official Telephone | 4108694602 |
Is Organization Subpart | Y |
Parent Organization Name | DEBOBETH MEDICAL CENTER |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
1871074096 | Debobeth Medical Center | Nurse Practitioner | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-25 |
1508489758 | Debobeth Medical Center | Psychiatry & Neurology | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
1447873690 | Debobeth Medical Center | Psychiatry & Neurology | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
1255954400 | Debobeth Medical Center | Psychiatry & Neurology | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
1285255935 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-05-05 |
1174155733 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-02-11 |
1023640604 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-02-11 |
1336771922 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-02-11 |
1043791122 | Debobeth Medical Center | Clinic/Center | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-27 |
Street Address |
3109 ERDMAN AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21213-1719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083184360 | Erdman Avenue Pharmacy | Pharmacy | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2018-11-29 |
1285255935 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-05-05 |
1174155733 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-02-11 |
1023640604 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-02-11 |
1336771922 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
1538627807 | Beverly V Whittaker-mcdermott | Social Worker | 3007 E. Biddle Street, Baltimore, MD 21213 | 2019-03-06 |
1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
1700398914 | Ags Programs LLC | Clinic/Center | 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 | 2017-10-27 |
1558883918 | Dayspring Programs, Inc. | Substance Abuse Rehabilitation Facility | 1125 N. Patterson Park Avenue, Baltimore, MD 21213 | 2017-07-07 |
1699205294 | Live & Let Live LLC | Counselor | 3549 Elmley Avenue, Baltimore, MD 21213 | 2017-06-15 |
1174052518 | Vel J Humbert | Counselor | 3549 Elmley Ave, Baltimore, MD 21213 | 2017-06-08 |
1134676620 | Larry Kirkland | Counselor | 3051 Sinclair Lane, Baltimore, MD 21213 | 2016-09-01 |
1093170862 | Renewed Minds Therapeutic Services LLC | Clinic/Center | 1515 E Biddle Street, Baltimore, MD 21213 | 2015-12-22 |
1073980827 | Family Therapy Services,llc | Counselor | 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 | 2015-08-27 |
Find all providers in zip 21213 |
Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073664181 | Denis Antoine II | Psychiatry & Neurology | 5510 Nathan Shock Drive, Baltimore, MD 21224 | 2007-01-15 |
1972100402 | Exodus Behavioral Health, LLC | Psychiatry & Neurology | 700 Washington Blvd, Baltimore, MD 21230-2350 | 2020-10-07 |
1255954400 | Debobeth Medical Center | Psychiatry & Neurology | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
1336771922 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-02-11 |
1285029199 | Benjamin Ehrenreich | Psychiatry & Neurology | 6501 N Charles St, Baltimore, MD 21204-6819 | 2015-03-30 |
1154620540 | Joy Chang | Psychiatry & Neurology | 110 S Paca St, 4n149, Baltimore, MD 21201-1642 | 2011-03-24 |
1518115500 | Christopher James Holt | Psychiatry & Neurology | 701 W Pratt St, Baltimore, MD 21201-1023 | 2008-09-03 |
1760507925 | Nicholas G Scotto | Psychiatry & Neurology | 1001 W Pratt St, Baltimore, MD 21223-2679 | 2007-03-20 |
1922130483 | Meenakshi Suman | Psychiatry & Neurology | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-03-11 |
1326177718 | Elizabeth A. Stuller | Psychiatry & Neurology | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-03-03 |
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.