| Jhu - Division 500 | |
|
600 N Wolfe St Baltimore MD 21287-0005 | |
| (410) 955-6158 | |
| Not Available |
| Full Name | Jhu - Division 500 |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhu - Division 500 Po Box 64260 Baltimore MD 21264-4260 Ph: () - | Jhu - Division 500 600 N Wolfe St Baltimore MD 21287-0005 Ph: (410) 955-6158 |
| NPI Number | 1891072286 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 03/07/2021 |
| Certification Date | 03/07/2021 |
| Medicare PECOS PAC ID | 8921903147 |
|---|---|
| Medicare Enrollment ID | O20130604000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891072286 | NPI | - | NPPES |
| 069787726 | Medicaid | DC | |
| 269251100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Maryland) | Primary |
| Provider Name | Milap A Nowrangi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902065410 PECOS PAC ID: 1153507843 Enrollment ID: I20130604000336 |
| Provider Name | Immaculata M Ulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740298579 PECOS PAC ID: 2860491834 Enrollment ID: I20131230000916 |
| Provider Name | Erica Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659546521 PECOS PAC ID: 9436423613 Enrollment ID: I20170927001382 |
| Provider Name | Rushi Hasmukh Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063779908 PECOS PAC ID: 2264782747 Enrollment ID: I20180904001608 |
| Provider Name | Millicent Boa Amponsem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858769 PECOS PAC ID: 1658615570 Enrollment ID: I20181204002414 |
| Provider Name | Kali Cyrus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982047221 PECOS PAC ID: 7618298480 Enrollment ID: I20190507000049 |
| Provider Name | Durga Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427293000 PECOS PAC ID: 5991941478 Enrollment ID: I20190731001286 |
| Provider Name | Ashley Bone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417093170 PECOS PAC ID: 0941375133 Enrollment ID: I20201005001522 |
| Provider Name | Idris Leppla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609295500 PECOS PAC ID: 0345463006 Enrollment ID: I20201009000177 |
| Provider Name | Stanislav Spivak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356497838 PECOS PAC ID: 1153474549 Enrollment ID: I20201026001762 |
| Provider Name | Crystal Salcido |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013334929 PECOS PAC ID: 9931323300 Enrollment ID: I20201223001853 |
| Provider Name | Chiadikaobi Onyike |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184678724 PECOS PAC ID: 4688860877 Enrollment ID: I20201223001980 |
| Provider Name | Rafal Szymczuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013364470 PECOS PAC ID: 6800208455 Enrollment ID: I20201223002301 |
| Provider Name | Ifeyinwa Nwokike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932715364 PECOS PAC ID: 4082027958 Enrollment ID: I20210114000212 |
| Provider Name | Jennifer Brucie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437557337 PECOS PAC ID: 9032526256 Enrollment ID: I20210405001972 |
| Provider Name | Christopher Morrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053843177 PECOS PAC ID: 0042589913 Enrollment ID: I20210709000020 |
| Provider Name | Nina T Ballone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619321171 PECOS PAC ID: 4688963481 Enrollment ID: I20210809000119 |
| Provider Name | Mariam E Faris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811350408 PECOS PAC ID: 7517252885 Enrollment ID: I20210830002144 |
| Provider Name | Artin Mahdanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740866979 PECOS PAC ID: 2769888650 Enrollment ID: I20220222000095 |
| Provider Name | Vamsi Kalari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700248770 PECOS PAC ID: 3375897978 Enrollment ID: I20220517000879 |
| Provider Name | Sarah Catherine Collica |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003272113 PECOS PAC ID: 6608255435 Enrollment ID: I20220623003508 |
| Provider Name | Rosetta Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942934666 PECOS PAC ID: 2668837246 Enrollment ID: I20230504000187 |
| Provider Name | Samuel Ayodeji Adeyemo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326693722 PECOS PAC ID: 2567818719 Enrollment ID: I20231025001807 |
| Provider Name | Joseph Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588380257 PECOS PAC ID: 6800267006 Enrollment ID: I20240327000885 |
| Provider Name | Karen Dionesotes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912561671 PECOS PAC ID: 6800120700 Enrollment ID: I20240415003669 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |