| Johns Hopkins Outpatient Off-site Psychiatry Services | |
|
901 N Broadway Baltimore MD 21205-1119 | |
| (410) 550-5919 | |
| (410) 550-7433 |
| Full Name | Johns Hopkins Outpatient Off-site Psychiatry Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 901 N Broadway, Baltimore, Maryland |
| Authorized Official Name and Position | Ronald J Werthman (VICE PRESIDENT, TREASURER, CFO,JHHS) |
| Authorized Official Contact | 4109556552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johns Hopkins Outpatient Off-site Psychiatry Services P.o. Box 632051 Baltimore MD 21263-2051 Ph: (443) 997-0001 | Johns Hopkins Outpatient Off-site Psychiatry Services 901 N Broadway Baltimore MD 21205-1119 Ph: (410) 550-5919 |
| NPI Number | 1164593000 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 12/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164593000 | NPI | - | NPPES |
| 00065500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 30-034 (Maryland) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 30-034 (Maryland) | Primary |
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