Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Other names
The Forbush School at Glyndon, Sheppard Pratt School Glyndon
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DORSEY (COMPLIANCE)
(410) 517-5551
Entity
Organization
Contact information
Practice address
407 CENTRAL AVE, REISTERSTOWN, MD 21136-1854
(410) 517-5400
Mailing address
PO BOX 79751, BALTIMORE, MD 21279-0751
(410) 517-5551
(443) 659-2429
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
03-64551
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214000
MEDICARE
MD
05
—
227401900
—
MD
Enumeration date
04/27/2011
Last updated
04/22/2026
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