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JEFFERSON RTC
NPI 1255424164
Residential Treatment Facility, Emotionally Disturbed Children in Jefferson, MD

Active since October 02, 2006
2940 POINT OF ROCKS RD., JEFFERSON, MD 21755(301) 624-8400(301) 624-8404 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jefferson Rtc NPPES

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

JEFFERSON RTC (NPI 1255424164) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Jefferson, Maryland and active in the NPI registry since October 2006. The organization lists Bonnie B. Katz, Vp, Corporate Business Development, as its authorized official.

NPPES Registry Identity

NPI1255424164
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSHEPPARD PRATT HEALTH SYSTEM, INC
Location Address2940 POINT OF ROCKS RD.Jefferson, MD 21755-0009
Mailing Address6501 N Charles StBaltimore, MD 21204-6819 · (410) 938-3000 · Fax (410) 938-3159
Phone(301) 624-8400
Fax(301) 624-8404
Organization SubpartNo
Authorized OfficialBonnie B. KatzVp, Corporate Business Development · (410) 938-3154
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 16, 2009
✔ NPI 1255424164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in MD · 10-018
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2940 POINT OF ROCKS RD., Jefferson, MD 21755
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Other Names 1

Doing Business AsJefferson Rtc

Other Identifiers 2

Medicaid081505500MD
Medicare PIN214000MD

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 1255424164. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Jefferson Rtc.

Where is Sheppard Pratt Health System, Inc located?

Sheppard Pratt Health System, Inc is located at 2940 Point Of Rocks Rd., Jefferson, MD 21755. The listed phone number is (301) 624-8400.

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

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

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 with the weekly NPPES data releases published by CMS.