| Gestell Psychiatry, Llc | |
|
600 N Wolfe St Baltimore MD 21287 | |
| (240) 284-9348 | |
| Not Available |
| Full Name | Gestell Psychiatry, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Authorized Official Name and Position | Somya Abubucker (OWNER) |
| Authorized Official Contact | 2402849348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gestell Psychiatry, Llc 9722 Groffs Mill Dr Ste 847 Owings Mills MD 21117-6341 Ph: (240) 284-9348 | Gestell Psychiatry, Llc 600 N Wolfe St Baltimore MD 21287 Ph: (240) 284-9348 |
| NPI Number | 1023735271 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/23/2022 |
| Medicare PECOS PAC ID | 6002284932 |
|---|---|
| Medicare Enrollment ID | O20221123002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023735271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Somya Abubucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033508361 PECOS PAC ID: 1759639651 Enrollment ID: I20210714000207 |
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