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LODGE SCHOOL
NPI 1205980885
Clinic/Center - Adolescent and Children Mental Health in Gaithersburg, MD

Active since January 22, 2007
610 E DIAMOND AVE, SUITE E, GAITHERSBURG, MD 20877(301) 208-0561(301) 330-0533 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lodge School NPPES

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

LODGE SCHOOL (NPI 1205980885) is a healthcare organization registered as an adolescent and children mental health in Gaithersburg, Maryland and active in the NPI registry since January 2007. The organization lists Bonnie B Katz, Vp Corporate Business Development, as its authorized official.

NPPES Registry Identity

NPI1205980885
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSHEPPARD PRATT HEALTH SYSTEM, INC.
Location Address610 E DIAMOND AVE, SUITE EGaithersburg, MD 20877-5321
Mailing Address6501 N Charles StBaltimore, MD 21204-6819 · (419) 938-3000 · Fax (410) 938-3159
Phone(301) 208-0561
Fax(301) 330-0533
Organization SubpartNo
Authorized OfficialBonnie B KatzVp Corporate Business Development · (410) 938-3150
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJanuary 16, 2009
✔ NPI 1205980885 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
License✔ Licensed in MD · 236
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.
610 E DIAMOND AVE, Gaithersburg, MD 20877
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Other Names 1

Doing Business AsLodge School

Other Identifiers 2

Other236MD · State License
Medicare PIN214000MD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA KAJDAS
Student in an Organized Health Care Education/Training Program
610 E DIAMOND AVE, SUITE E
GAITHERSBURG, MD 20877
Montgomery County (301) 330-4359
RAQUEL COALE LCPC
Counselor
610 E DIAMOND AVE, SUITE 100
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
EVELYN MONTECINOS LGSW
Social Worker
610 E DIAMOND AVE, SUITE 100A
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
DALIRIS AMAYA-RIVERA LCPC
Counselor (Mental Health)
610 E DIAMOND AVE, SUITE 100
GAITHERSBURG, MD 20877
Montgomery County (240) 683-6580
AREZOU ARIANE DJAVAN
Social Worker (Clinical)
610 E DIAMOND AVE
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
CARLOS E APARICIO
Social Worker
610 E DIAMOND AVE
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
VERONICA TUNON LCSW-C
Social Worker (Clinical)
610 E DIAMOND AVE
GAITHERSBURG, MD 20877
Montgomery County (301) 840-3200
GENEVIEVE DIAMOND LCSW-C
Social Worker (Clinical)
610 E DIAMOND AVE
GAITHERSBURG, MD 20877
Montgomery County (443) 682-0261

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 Sheppard Pratt Health System, Inc.'s NPI number?

The NPI number for Sheppard Pratt Health System, Inc. is 1205980885. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Lodge School.

Where is Sheppard Pratt Health System, Inc. located?

Sheppard Pratt Health System, Inc. is located at 610 E Diamond Ave Suite E, Gaithersburg, MD 20877. The listed phone number is (301) 208-0561.

What is Sheppard Pratt Health System, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Sheppard Pratt Health System, Inc. was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.