| Sheppard Pratt Health System, Inc. | |
|
10100 Country Club Rd Se Cumberland MD 21502-8339 | |
| (410) 777-2258 | |
| (301) 777-2364 |
| Full Name | Sheppard Pratt Health System, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10100 Country Club Rd Se, Cumberland, Maryland |
| Authorized Official Name and Position | Bonnie B. Katz (VP CORPORATE BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 4109383150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Pratt Health System, Inc. 6501 N Charles St Baltimore MD 21204-6819 Ph: (410) 938-3150 | Sheppard Pratt Health System, Inc. 10100 Country Club Rd Se Cumberland MD 21502-8339 Ph: (410) 777-2258 |
| NPI Number | 1841344470 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841344470 | NPI | - | NPPES |
| 201901902 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3794 (Maryland) | Primary |
Allegany County Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12501-12503 Willowbrook Rd, Cumberland, MD 21502 Phone: 301-759-5050 Fax: 301-777-2098 | |
Allegany County Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12503 Willowbrook Rd, Cumberland, MD 21502 Phone: 301-759-5050 Fax: 301-777-5630 | |
Maryland Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N Mechanic St, Cumberland, MD 21502 Phone: 410-241-6317 | |
Maryland Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N Mechanic St, Cumberland, MD 21502 Phone: 410-314-1030 Fax: 410-314-1030 | |
Archway Station Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Warwick Ave, Cumberland, MD 21502 Phone: 301-722-2018 | |
Associated Catholic Charities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Virginia Ave, Cumberland, MD 21502 Phone: 667-600-2110 | |
Committed To Change, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Glenn St Ste 302, Cumberland, MD 21502 Phone: 240-580-1919 Fax: 240-362-7409 |