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Contact Information

PSYCHIATRY SPECIALITIES CLINICS, LLC
3525 ELLICOTT MILLS DR STE G
ELLICOTT CITY, MD21043-4638
 Phone: 410-988-8092
 Fax: 443-420-7875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Family

363LF0000X 50 Nurse Practitioner
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PSYCHIATRY SPECIALITIES CLINICS, LLC

NPI # 1851864037
LBN Legal business name PSYCHIATRY SPECIALITIES CLINICS, LLC
Authorized official RINU PRADHAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2019
Last updated 10/10/2023 - About 3 years ago
Identifiers
MD Medicaid 345025200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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