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ROOTED INTEGRATIVE PSYCHIATRY LLC NPI 1265290035


NPI Information

NPI: 1265290035
Provider Name: ROOTED INTEGRATIVE PSYCHIATRY LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1301 YORK RD STE 800
LUTHERVILLE, MD
ZIP 21093
Phone: (443) 331-5230
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ROOTED INTEGRATIVE PSYCHIATRY LLC is a mental health (including community mental health center) clinic center in Lutherville, MD. ROOTED INTEGRATIVE PSYCHIATRY LLC NPI is 1265290035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 YORK RD STE 800
LUTHERVILLE, MD
ZIP 21093-011
Phone: (443) 331-5230

The provider's authorized official is Robyn Manning .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (443) 331-5230.

The enumeration date for this NPI number is 3/7/2024 and was last updated on 4/23/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 5/5/2024

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