TRACEY ANDREA ROYSTER-BENNETT (NPI# 1669957544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669957544 |
Entity Type | Individual |
Full Name | TRACEY ANDREA ROYSTER-BENNETT |
Practice Address |
3455 Wilkens Ave Ste 203 Baltimore MD 21229-5265 |
Mailing Address |
414 Light St Unit 1301 Baltimore MD 21202-1269 |
Practice Telephone | 4439275050 |
Mailing Telephone | 4439275050 |
Enumeration Date | 2018-09-26 |
Last Update Date | 2018-09-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
Street Address |
3455 WILKENS AVE STE 203 |
City | BALTIMORE |
State | MD |
Zip Code | 21229-5265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265999866 | Integrity Health Services LLC | Clinic/Center | 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265 | 2019-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
Find all providers in zip 21229 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679111306 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 203924, Baltimore, MD 21202-4736 | 2019-12-12 |
1376196659 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 204-206, Baltimore, MD 21202-4736 | 2019-07-16 |
1063980464 | Mercy Mental Healthcare Services, Inc | Psychologist | 20 S Hilton St, Baltimore, MD 21229-3724 | 2018-11-05 |
1376038976 | Gia Monique Winfield | Psychologist | 2118 N Charles St Apt 2, Baltimore, MD 21218-5797 | 2018-06-26 |
1841705407 | Conduit Inc | Psychologist | 3901 Park Heights Ave, Baltimore, MD 21215-7013 | 2017-12-05 |
1831562040 | Christopher Lloyd Matih Sr. | Psychologist | Community Bridge Builders of Maryland LLC, 5900 York Road, Suite 206, Baltimore, MD 21212-3041 | 2015-11-10 |
1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
1033680749 | American Psychiatric Group Pa | Psychologist | 17 E Franklin St, Baltimore, MD 21202-2203 | 2018-12-07 |
1649765918 | Mayra Lizeth Sanchez Gonzalez | Psychologist | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-06-28 |
Find all providers in BALTIMORE |
Please comment or provide details below to improve the information on TRACEY ANDREA ROYSTER-BENNETT.
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.