| Pace Neurohealth Tms Centers, Inc | |
|
8422 Bellona Ln Ste 303 Towson MD 21204-2058 | |
| (443) 455-1670 | |
| (443) 885-0163 |
| Full Name | Pace Neurohealth Tms Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8422 Bellona Ln Ste 303, Towson, Maryland |
| Authorized Official Name and Position | Catherine Nwah (FACILITY DIRECTOR) |
| Authorized Official Contact | 4434551670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pace Neurohealth Tms Centers, Inc 309 Dellcrest Dr Forest Hill MD 21050-2804 Ph: () - | Pace Neurohealth Tms Centers, Inc 8422 Bellona Ln Ste 303 Towson MD 21204-2058 Ph: (443) 455-1670 |
| NPI Number | 1093200511 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Medicare PECOS PAC ID | 4880027754 |
|---|---|
| Medicare Enrollment ID | O20191206000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093200511 | NPI | - | NPPES |
| Provider Name | Claude B Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619929676 PECOS PAC ID: 5092907212 Enrollment ID: I20101006000973 |
| Provider Name | Sandra C Anoruo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306497870 PECOS PAC ID: 6901239888 Enrollment ID: I20191206001380 |
| Provider Name | Catherine O Nwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128680 PECOS PAC ID: 3476986167 Enrollment ID: I20191211001134 |
| Provider Name | Shannon Kelso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346893914 PECOS PAC ID: 1456787423 Enrollment ID: I20200211001459 |
| Provider Name | Gbemisola Mojelope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659632925 PECOS PAC ID: 4183052178 Enrollment ID: I20200325003756 |
| Provider Name | Dominic J Maxwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134178106 PECOS PAC ID: 9931180833 Enrollment ID: I20200904000021 |
| Provider Name | Katherine A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932799780 PECOS PAC ID: 5799061354 Enrollment ID: I20210520000030 |
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