SHEPPARD PRATT HEALTH SYSTEM, INC. (NPI# 1851324164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851324164 |
| Entity Type | Organization |
| Organization Name | SHEPPARD PRATT HEALTH SYSTEM, INC. |
| Other Organization Name | SHEPPARD PRATT AT ELLICOTT CITY |
| Practice Address |
4100 College Ave Ellicott City MD 21041-0836 |
| Mailing Address |
6501 N Charles St Baltimore MD 21204-6819 |
| Practice Telephone | 4433645500 |
| Mailing Telephone | 4109383150 |
| Mailing Fax Number | 4109383159 |
| Enumeration Date | 2006-07-09 |
| 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 | 283Q00000X | Psychiatric Hospital | 13-002 | MD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST FACILITY # | NR5 | 01 |
| MD | 5-52770 | 05 | |
| MD | MD FACILITY LICS | 13-002 | 01 |
| Other Name | Type Code |
|---|---|
| Sheppard Pratt at Ellicott City | Doing Business As Name - 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 |
| 1437556008 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 6501 N Charles St, Baltimore, MD 21204-6819 | 2014-11-26 |
| Street Address |
4100 COLLEGE AVE |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21041-0836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524152 | Benjamin Bradley | Nurse Practitioner | 4100 College Ave, Ellicott City, MD 21043-5506 | 2019-12-04 |
| 1801379094 | Tuerk House Inc | Substance Abuse Rehabilitation Facility | 4100 College Ave, Ellicott City, MD 21043-5506 | 2018-09-13 |
| 1992107726 | Tuerk House, Inc. | Substance Abuse Rehabilitation Facility | 4100 College Ave, Ellicott City, MD 21043-5506 | 2014-09-24 |
| 1700287315 | Tuerk House, Inc. | Community/Behavioral Health | 4100 College Ave, Bldg. 8, Ellicott City, MD 21043-5506 | 2014-09-15 |
| 1023445772 | Ameya Umakant Amritwar | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2013-09-26 |
| 1407143993 | Noella Yefon Shadzeka | Physician Assistant | 4100 College Ave, Ellicott City, MD 21043-5506 | 2011-07-05 |
| 1346553039 | Sameer R. Patel | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2010-07-22 |
| 1104053362 | Sandra Onyeagoro | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2009-06-16 |
| 1548452147 | Ariel Antonio Vitali Jr. | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043 | 2007-08-16 |
| 1184836462 | Deoroop Gurprasad | Psychiatry & Neurology | 4100 College Ave, Ellicott City, MD 21043-5506 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992955900 | Kristen Marie Linnell | Obstetrics & Gynecology | 2000 Medical Parkway Suite 310, Health Sciences Pavilion, Annapolis, MD 21041 | 2008-09-26 |
| 1053527515 | Archana Goel Leon-guerrero | Psychiatry & Neurology | 3375 Ellicott Center Dr, Unit 2714, Ellicott City, MD 21041-7501 | 2007-05-14 |
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932269495 | Sheppard Pratt Health System, Inc | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21043-5506 | 2006-12-12 |
| 1841350303 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21043-5506 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236992 | Anne Arundel Mental Health Hospital, Inc. | Psychiatric Hospital | 175 Harry S. Truman Pkwy, Annapolis, MD 21401-7305 | 2019-07-09 |
| 1811345697 | Department of Behavorial Health,st Elizabeth Hospital Dc | Psychiatric Hospital | 1519 Heather Hollow Cir, Apt 14, Silver Spring, MD 20904-2366 | 2016-06-02 |
| 1366792251 | Lauren Marie Matthews | Psychiatric Hospital | 12524 Triple Crown Rd, North Potomac, MD 20878-3746 | 2012-09-18 |
| 1578810693 | Wrnmmcb | Psychiatric Hospital | Bldg 19 Room 6407 8901 Wisconsin Ave, Department of Psychiatry, Bethesda, MD 20889 | 2012-08-08 |
| 1558648410 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 4540b Mack Avenue, Frederick, MD 21701 | 2011-11-07 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1356446132 | Veterans Administration | Psychiatric Hospital | Bldg 364 Ave. D, Perry Point, MD 21902 | 2006-09-14 |
| 1629009311 | Daniel S Smithpeter Md | Psychiatric Hospital | 29466 Pintail Drive, Ste 9, Easton, MD 21601 | 2006-07-05 |
| 1316918048 | Brook Lane Health Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1435 | 2006-01-31 |
| 1760468623 | Comptroller of Maryland Central Payroll Bureau | Psychiatric Hospital | 630 W Fayette St, Baltimore, MD 21201 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21041 |
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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.