Provider Demographics
NPI:1437955184
Name:KATHRYN JENKINS PSYCHIATRY, LLC
Entity type:Organization
Organization Name:KATHRYN JENKINS PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC MENTAL HEALTH NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:443-775-2624
Mailing Address - Street 1:954 RIDGEBROOK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SPARKS GLENCOE
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9470
Mailing Address - Country:US
Mailing Address - Phone:443-775-2624
Mailing Address - Fax:
Practice Address - Street 1:954 RIDGEBROOK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SPARKS GLENCOE
Practice Address - State:MD
Practice Address - Zip Code:21152-9470
Practice Address - Country:US
Practice Address - Phone:443-775-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health