| Ummc Programs Of Assertive Community Treatment | |
|
701 W Pratt St Fifth Floor Baltimore MD 21201-1023 | |
| (410) 328-2564 | |
| (410) 328-0096 |
| Full Name | Ummc Programs Of Assertive Community Treatment |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 W Pratt St, Baltimore, Maryland |
| Authorized Official Name and Position | George Sprinkel (CFO) |
| Authorized Official Contact | 4103281501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ummc Programs Of Assertive Community Treatment Po Box 64277 Baltimore MD 21264-4277 Ph: (410) 328-7037 | Ummc Programs Of Assertive Community Treatment 701 W Pratt St Fifth Floor Baltimore MD 21201-1023 Ph: (410) 328-2564 |
| NPI Number | 1992896013 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7113379256 |
|---|---|
| Medicare Enrollment ID | O20240322001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992896013 | NPI | - | NPPES |
| 065180000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ann L Hackman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083625834 PECOS PAC ID: 3072701267 Enrollment ID: I20110104000146 |
| Provider Name | Curtis Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033139258 PECOS PAC ID: 5193902336 Enrollment ID: I20110615000580 |
| Provider Name | Rachel Funk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275931107 PECOS PAC ID: 0547586828 Enrollment ID: I20150304000184 |
| Provider Name | Elizabeth J Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528334620 PECOS PAC ID: 2365740743 Enrollment ID: I20161013000104 |
| Provider Name | Ann Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811665425 PECOS PAC ID: 2062877384 Enrollment ID: I20230420000898 |
| Provider Name | Laura Bartolomei-hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295444271 PECOS PAC ID: 7315381027 Enrollment ID: I20240221003300 |
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