TRACEY ANDREA ROYSTER-BENNETT


Address: 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265
Phone: 4439275050

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Office Location

Street Address 3455 WILKENS AVE STE 203
City BALTIMORE
State MD
Zip Code 21229-5265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265999866 Integrity Health Services LLC Clinic/Center 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265 2019-03-01

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BALTIMORE
Zip Code 21229

Improve Information

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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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