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CTR . FOR INFANT STUDY - PSYCH. ASSOC. NPI 1992712897


NPI Information

NPI: 1992712897
Provider Name: CTR . FOR INFANT STUDY - PSYCH. ASSOC.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
701 W PRATT ST
3RD FLR
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-2539
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CTR . FOR INFANT STUDY - PSYCH. ASSOC. is a child and adolescent psychiatry psychiatry neurology in Baltimore, MD. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. CTR . FOR INFANT STUDY - PSYCH. ASSOC. NPI is 1992712897. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 W PRATT ST
3RD FLR
BALTIMORE, MD
ZIP 21201-023
Phone: (410) 328-2539
Fax: (410) 328-8552

The provider's authorized official is Anthony Bibbo .
The authorized official title is Senior Administrator and has the following contact phone number (410) 328-6771.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1401609200MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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