1134132327 NPI number — RAHSAAN LINDSEY PSYCHIATRIC SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134132327 NPI number — RAHSAAN LINDSEY PSYCHIATRIC SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAHSAAN LINDSEY PSYCHIATRIC SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134132327
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 814
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLANDVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-296-8232
Provider Business Mailing Address Fax Number:
410-821-2804

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6701 N CHARLES ST
Provider Second Line Business Practice Location Address:
SUITE 4105
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-296-8232
Provider Business Practice Location Address Fax Number:
410-821-2804
Provider Enumeration Date:
08/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LINDSEY
Authorized Official First Name:
RAHSAAN
Authorized Official Middle Name:
LATEEF
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
410-296-8232

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  D0059449 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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