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POTENZA PSYCHOTHERAPY
NPI 1134639628
Clinic/Center - Adolescent and Children Mental Health in Baltimore, MD

Active since October 10, 2017
10 E MOUNT VERNON PL, BALTIMORE, MD 21202(410) 929-1719(410) 929-1719 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Potenza Psychotherapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTENZA PSYCHOTHERAPY (NPI 1134639628) is a healthcare organization registered as an adolescent and children mental health in Baltimore, Maryland and active in the NPI registry since October 2017. The organization lists Jessica Buttacavoli-smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1134639628
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePOTENZA PSYCHOTHERAPY
Location Address10 E MOUNT VERNON PLBaltimore, MD 21202-2309
Mailing Address4021 Roland AveBaltimore, MD 21211-2032 · (253) 569-5383
Phone(410) 929-1719
Fax(410) 929-1719
Organization SubpartNo
Authorized OfficialJessica Buttacavoli-smithOwner · (410) 929-1719
Enumeration DateOctober 10, 2017
✔ NPI 1134639628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
10 E MOUNT VERNON PL, Baltimore, MD 21202
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Other Identifiers 1

Medicaid1649627480MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potenza Psychotherapy's NPI number?

The NPI number for Potenza Psychotherapy is 1134639628. It was assigned to this organization in the NPPES registry on October 10, 2017.

Where is Potenza Psychotherapy located?

Potenza Psychotherapy is located at 10 E Mount Vernon Pl, Baltimore, MD 21202. The listed phone number is (410) 929-1719.

What is Potenza Psychotherapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Potenza Psychotherapy accept?

Health plans from University of Utah Health Plans list Potenza Psychotherapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Potenza Psychotherapy was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.