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WHITE MARSH PSYCHIATRIC ASSOCIATES LLC NPI 1043466147


NPI Information

NPI: 1043466147
Provider Name: WHITE MARSH PSYCHIATRIC ASSOCIATES, LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 21D1071658

Address:
5024 CAMPBELL BLVD
SUITE H
BALTIMORE, MD
ZIP 21236
Phone: (410) 931-6694
Get Directions

WHITE MARSH PSYCHIATRIC ASSOCIATES, LLC is a psychiatry psychiatry neurology in Baltimore, MD. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. WHITE MARSH PSYCHIATRIC ASSOCIATES, LLC NPI is 1043466147. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5024 CAMPBELL BLVD
SUITE H
BALTIMORE, MD
ZIP 21236-974
Phone: (410) 931-6694

The provider's authorized official is Dianne C Denton .
The authorized official title is Practice Manager and has the following contact phone number (410) 931-9280.

The CLIA number assigned to this NPI record is 21D1071658 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2008 and was last updated on 9/18/2008.


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
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
42084P0800XPsychiatry & NeurologyPsychiatryYes

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
1187200500MEDICAIDMARYLAND
215410050MEDICAIDMARYLAND

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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