| Shevitz Psychiatric | |
|
3811 Canterbury Rd Baltimore MD 21218-2340 | |
| (443) 604-4383 | |
| (410) 889-3616 |
| Full Name | Shevitz Psychiatric |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3811 Canterbury Rd, Baltimore, Maryland |
| Authorized Official Name and Position | David Lewis Shevitz (PRESIDENT) |
| Authorized Official Contact | 4436044383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shevitz Psychiatric 3811 Tabor Rd Owings Mills MD 21117-1245 Ph: (443) 604-4383 | Shevitz Psychiatric 3811 Canterbury Rd Baltimore MD 21218-2340 Ph: (443) 604-4383 |
| NPI Number | 1659003101 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 2163806423 |
|---|---|
| Medicare Enrollment ID | O20220906000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659003101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David Shevitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679512503 PECOS PAC ID: 7618093550 Enrollment ID: I20100928001012 |
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