AUTUMN SKYE IVY NPI 1659638666

NPI Information

  • NPI: 1659638666
  • Provider Name: AUTUMN SKYE IVY
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 ORLEANS STREET
    BALTIMORE, MD
    ZIP 21264
  • Phone: (410) 502-2037

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NPI Details

Autumn Skye Ivy is a neurology with special qualifications in child neurology psychiatry neurology in Baltimore, MD. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Autumn Skye Ivy NPI is 1659638666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 ORLEANS STREET
BALTIMORE, MD
ZIP 21264-203
Phone: (410) 502-2037
Fax: (410) 955-0737

The NPI 1659638666 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2012 and was last updated on 8/15/2024.

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
1208000000XPediatricsA126865CALIFORNIANo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyA126865CALIFORNIANo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyD0101347MARYLANDYes

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: 11/21/2025

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