| Child And Adult Psychiatry | |
|
630 Towne Center Dr Joppa MD 21085-4440 | |
| (410) 510-7099 | |
| (410) 510-7955 |
| Full Name | Child And Adult Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 Towne Center Dr, Joppa, Maryland |
| Authorized Official Name and Position | Charito Quintero-howard (PSYCHIATRIST) |
| Authorized Official Contact | 4105107099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adult Psychiatry 13919 Green Branch Dr Phoenix MD 21131-1315 Ph: (410) 510-7099 | Child And Adult Psychiatry 630 Towne Center Dr Joppa MD 21085-4440 Ph: (410) 510-7099 |
| NPI Number | 1285044875 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 6901125368 |
|---|---|
| Medicare Enrollment ID | O20150506001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285044875 | NPI | - | NPPES |
| Provider Name | Charito V Quintero Howard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265493860 PECOS PAC ID: 8123012796 Enrollment ID: I20040414001394 |
| Provider Name | Elizabeth Turin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174670541 PECOS PAC ID: 2365415221 Enrollment ID: I20040818000558 |
| Provider Name | Wendy E Buck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447345442 PECOS PAC ID: 0345407599 Enrollment ID: I20120131000638 |
| Provider Name | Kwabena Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215580816 PECOS PAC ID: 6305177031 Enrollment ID: I20191011000029 |
| Provider Name | Moses Ekemezie Ikejiofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437704103 PECOS PAC ID: 6800224601 Enrollment ID: I20200310000012 |
| Provider Name | Alisha G Shim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962021766 PECOS PAC ID: 2769864891 Enrollment ID: I20220805000148 |
| Provider Name | Shanshan He |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992336242 PECOS PAC ID: 6204298334 Enrollment ID: I20230822000051 |
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Child And Adult Psychiatry Charito Quintero-howard, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Towne Center Dr, Joppa, MD 21085 Phone: 410-510-7099 Fax: 410-510-7955 | |
Child And Adult Psychiatry Charito Quintero-howard, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Towne Center Dr, Joppa, MD 21085 Phone: 410-510-7099 Fax: 410-510-7955 |