SHEPPARD PRATT HEALTH SYSTEM, INC. (NPI# 1558410340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558410340 |
| Entity Type | Organization |
| Organization Name | SHEPPARD PRATT HEALTH SYSTEM, INC. |
| Other Organization Name | MANN RESPITE |
| Practice Address |
6501 N Charles St Baltimore MD 21204-6819 |
| Practice Telephone | 4109383000 |
| Practice Fax Number | 4109383159 |
| Mailing Telephone | 4109383000 |
| Mailing Fax Number | 4109383159 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-01-16 |
| Authorized Official Name | MS. BONNIE B. KATZ (VP, CORPORATE BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 4109383150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Mann Respite | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629247051 | Sheppard Pratt Health System, Inc. | Clinic/Center | 610 E Diamond Ave Ste E, Gaithersburg, MD 20877-5332 | 2008-02-29 |
| 1225216948 | Sheppard Pratt Health System, Inc. | Clinic/Center | 11201 Pepper Rd, Hunt Valley, MD 21031-1201 | 2008-02-05 |
| 1811041163 | Sheppard Pratt Health System, Inc. | Clinic/Center | 407 Central Ave, Reisterstown, MD 21136-1854 | 2007-01-23 |
| 1104970565 | Sheppard Pratt Health System, Inc. | Clinic/Center | 17000 National Hwy Nw, Frostburg, MD 21532-3206 | 2007-01-23 |
| 1518011659 | Sheppard Pratt Health System, Inc. | Clinic/Center | 2940 Point of Rocks Road, Jefferson, MD 21755-0009 | 2007-01-23 |
| 1861546566 | Sheppard Pratt Health System, Inc. | Clinic/Center | 17051 Oakmont Ave, Gaithersburg, MD 20877-4142 | 2007-01-22 |
| 1922152578 | Sheppard Pratt Health System, Inc. | Clinic/Center | 2001 Shadyside Ave, Suitland, MD 20746-4805 | 2007-01-22 |
| 1093869679 | Sheppard Pratt Health System, Inc. | Clinic/Center | 4915 Aspen Hill Rd, Rockville, MD 20853-3709 | 2007-01-22 |
| 1932253598 | Sheppard Pratt Health System, Inc. | Clinic/Center | 1135 Business Pkwy S, Westminster, MD 21157-3019 | 2007-01-22 |
| 1851324164 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21041-0836 | 2006-07-09 |
| Street Address |
6501 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124028261 | Elizabeth Marie Galik | Nurse Practitioner | 6501 N Charles St, Sheppard Pratt, Gibson Building, Baltimore, MD 21204-6819 | 2005-07-29 |
| 1477150522 | Whitney Withrow | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-10-01 |
| 1124632708 | Duaa M Tolba | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-09-01 |
| 1356953327 | Jyoti Rimal | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-08-20 |
| 1447862305 | Ethan Krause | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-08-20 |
| 1043833098 | Melissa Mainier | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-05-26 |
| 1245851161 | Felecia Traynham | Social Worker | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-05-01 |
| 1750901849 | Lisa Hoffmann | Registered Nurse | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-04-20 |
| 1780216275 | Jonathan Hershfield | Marriage & Family Therapist | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-02-12 |
| 1114559846 | Meghan C Skrynecki | Nurse Practitioner | 6501 N Charles St, Baltimore, MD 21204-6819 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124567854 | Children's Choice, Inc | Respite Care | 6067 Harford Rd, Baltimore, MD 21214-1329 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649612524 | Trico Clinical Services Ltd | Respite Care | 46940 S Shangri La Dr, Suite 10, Lexington Park, MD 20653-1037 | 2013-07-22 |
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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.