DEBOBETH MEDICAL CENTER


Address: 3109 Erdman Ave, Baltimore, MD 21213-1719
Phone: 4108694602

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 3109 ERDMAN AVE
City BALTIMORE
State MD
Zip Code 21213-1719

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BALTIMORE
Zip Code 21213

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Dataset Information

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.

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