Provider Demographics
NPI:1659003101
Name:SHEVITZ PSYCHIATRIC
Entity Type:Organization
Organization Name:SHEVITZ PSYCHIATRIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:SHEVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-604-4383
Mailing Address - Street 1:3811 TABOR RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1245
Mailing Address - Country:US
Mailing Address - Phone:443-604-4383
Mailing Address - Fax:410-889-3616
Practice Address - Street 1:3811 CANTERBURY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2340
Practice Address - Country:US
Practice Address - Phone:443-604-4383
Practice Address - Fax:410-889-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty