| Sheppard Pratt Health System, Inc. | |
|
10100 Country Club Rd Se Cumberland MD 21502-8339 | |
| (301) 777-2258 | |
| (301) 777-2066 |
| 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 | Jessica Dorsey (COMPLIANCE) |
| Authorized Official Contact | 4105175551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Pratt Health System, Inc. Po Box 79751 Baltimore MD 21279-0751 Ph: (410) 517-5551 | Sheppard Pratt Health System, Inc. 10100 Country Club Rd Se Cumberland MD 21502-8339 Ph: (301) 777-2258 |
| NPI Number | 1841344470 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/22/2026 |
| Certification Date | 04/22/2026 |
| 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 |
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