SHEPPARD PRATT – NPI #1326613225
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

SHEPPARD PRATT is an AHC clinic located in TOWSON, MD. NPPES has assigned the NPI number 1326613225 to SHEPPARD PRATT on May 24, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHEPPARD PRATT” is a dba name, the actual legal business name for this organization is MOSAIC COMMUNITY SERVICES, INC.. The primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

The NPI profile was previously updated about 3 years ago on Sep 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHEPPARD PRATT below.

NPI Profile for
MOSAIC COMMUNITY SERVICES, INC.

NPI Number
1326613225
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOSAIC COMMUNITY SERVICES, INC.
Doing Business As (dba): SHEPPARD PRATT
Primary location
6501 NORTH CHARLES ST
GIBSON BLDG RM 061-OTP
TOWSON, MD 21204
Phone: (410) 453-9553 Fax: (443) 612-1488
Mailing address
1925 GREENSPRING DR
TIMONIUM, MD 21093-4128
Phone: (410) 382-8111 Fax: (443) 612-1488
Organization Subpart
No
Authorized Official
SUE KESSLER
DIRECTOR, REVENUE CYCLE
Phone: (410) 382-8111
Updated
Certification Date
Sep 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2800X
- Clinic/Center / Methadone (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.