DEBOBETH MEDICAL CENTER (NPI# 1508489758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508489758 |
| Entity Type | Organization |
| Organization Name | DEBOBETH MEDICAL CENTER |
| Practice Address |
3107-3109 Erdman Avenue Baltimore MD 21213 |
| Practice Telephone | 4108694602 |
| Practice Fax Number | 4108694603 |
| Mailing Telephone | 4108694602 |
| Mailing Fax Number | 4108694603 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | MERCY O FADOJU (PROVIDER) |
| Authorized Official Telephone | 4108694602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: 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 |
| 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 |
| 1467087031 | Debobeth Medical Center | Psychiatry & Neurology | 3109 Erdman Ave, Baltimore, MD 21213-1719 | 2020-03-04 |
| 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 |
3107-3109 ERDMAN AVENUE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1477953164 | Ebony Renee Hicks | Counselor | 3723 Elmora Avenue, Baltimore, MD 21213 | 2014-08-29 |
| Find all providers in zip 21213 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554793 | G & E Behavioral Health Services, LLC | Psychiatry & Neurology | 224 N Gay Street 2nd Floor, Baltimore, MD 21202-1511 | 2020-09-29 |
| 1427676071 | Equilibrium Behavioral Health LLC | Psychiatry & Neurology | 821 Key Hwy, Baltimore, MD 21230-3921 | 2020-07-10 |
| 1861017162 | Transformation Healthcare Inc. | Psychiatry & Neurology | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-11 |
| 1346870326 | American Psychiatric Care LLC | Psychiatry & Neurology | 5224 Harford Rd, Baltimore, MD 21214-2686 | 2020-01-18 |
| 1942856133 | American Psychiatric Group, P.a. | Psychiatry & Neurology | 17 E Franklin St Ste A, Baltimore, MD 21202-2203 | 2019-08-13 |
| 1992216493 | Families First Counseling and Psychiatry, LLC | Psychiatry & Neurology | 1011 N Charles St Ste 1, Baltimore, MD 21201-5416 | 2017-10-24 |
| 1952827073 | Via Clinic, LLC | Psychiatry & Neurology | 5100 Falls Rd Ste 140, Baltimore, MD 21210-1935 | 2017-08-21 |
| 1023499571 | Swaminathan Thangaraj | Psychiatry & Neurology | 1800 Orleans St Rm 12347, Baltimore, MD 21287 | 2015-06-10 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1134546062 | Natalie Beaty | Psychiatry & Neurology | 305 Washington Avenue Suite 500, Baltimore, MD 21204 | 2014-03-28 |
| 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.