Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Other names
Sheppard Pratt School Gaithersburg, Forbush School at Oakmont Upper Division
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DORSEY (COMPLIANCE)
(410) 517-5551
Entity
Organization
Contact information
Practice address
610 E DIAMOND AVE STE E, GAITHERSBURG, MD 20877-5332
(301) 330-4359
(301) 330-0533
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
PENDING
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414128800
—
MD
01
—
NUMBER PENDING
ST BOARD OF EDUCATION
MD
Enumeration date
02/29/2008
Last updated
04/22/2026
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