DR. KENNETH LAWRENCE ROTHBAUM (NPI# 1588657639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588657639 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LAWRENCE ROTHBAUM |
| Credential | MD |
| Practice Address |
2 Village Sq Suite 210 Baltimore MD 21210-1624 |
| Practice Telephone | 4104337433 |
| Practice Fax Number | 4104331663 |
| Mailing Telephone | 4104337433 |
| Mailing Fax Number | 4104331663 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
B27007 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE NUMBER | B27007 | 01 |
| Street Address |
2 VILLAGE SQ SUITE 210 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639443831 | Emily Baum | Psychologist | 2 Village Sq, Suite 259, Baltimore, MD 21210-1612 | 2012-03-06 |
| 1073842761 | Elizabeth Cooney Home Care Pennsylvania, LLC | In Home Supportive Care | 2 Village Sq, Ste 206, Baltimore, MD 21210-1612 | 2009-12-09 |
| 1003145780 | Elizabeth Cooney Personal Care Virginia, LLC | In Home Supportive Care | 2 Village Sq, Ste 206, Baltimore, MD 21210-1612 | 2009-12-09 |
| 1518296201 | Elizabeth Cooney Home Care West Virginia, LLC | In Home Supportive Care | 2 Village Sq, Ste 206, Baltimore, MD 21210-1612 | 2009-12-09 |
| 1477881308 | Elizabeth Cooney Home Care Virginia, LLC | In Home Supportive Care | 2 Village Sq, Suite 206, Baltimore, MD 21210-1612 | 2009-12-04 |
| 1144469131 | Elizabeth Cooney Disability Services, Inc. | Nursing Care | 2 Village Sq, Suite 208, Baltimore, MD 21210-1612 | 2009-02-13 |
| 1144469149 | Elizabeth Cooney Personal Care, LLC | Nursing Care | 2 Village Sq, Suite 206, Baltimore, MD 21210-1612 | 2009-02-13 |
| 1346492501 | Elizabeth Cooney Personnel Agency, Inc. | Home Health | 2 Village Sq, Suite 206, Baltimore, MD 21210-1624 | 2008-10-21 |
| 1992913818 | Judith Sheagren | Social Worker | 2 Village Sq, Suite 259, Baltimore, MD 21210-1624 | 2007-05-21 |
| 1740497759 | Lorna Marie Lord | Licensed Practical Nurse | 2 Village Sq, Cross Keys, Baltimore, MD 21210-1624 | 2007-05-17 |
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| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1871070748 | Indigo Physiotherapy, LLC | Dietitian, Registered | 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 | 2018-07-24 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
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| 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] |
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|---|---|---|---|---|
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| 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 |
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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.