| Kennedy Krieger Institute | |
|
707 N. Broadway Baltimore MD 21205 | |
| (443) 923-9200 | |
| (443) 923-9405 |
| Full Name | Kennedy Krieger Institute |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 707 N. Broadway, Baltimore, Maryland |
| Authorized Official Name and Position | Mike Neuman (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 4439231810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Krieger Institute P.o. Box 744865 Atlanta GA 30374 Ph: (443) 923-1886 | Kennedy Krieger Institute 707 N. Broadway Baltimore MD 21205 Ph: (443) 923-9200 |
| NPI Number | 1053572958 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053572958 | NPI | - | NPPES |
| 414602600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 30036 (Maryland) | Primary |
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 |