Healthcare Provider Details

I. General information

NPI: 1700539889
Provider Name (Legal Business Name): ALICIA MHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2022
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 N ROLLING RD STE 305
CATONSVILLE MD
21228-4142
US

IV. Provider business mailing address

516 N ROLLING RD STE 305
CATONSVILLE MD
21228-4142
US

V. Phone/Fax

Practice location:
  • Phone: 443-756-6599
  • Fax: 949-543-2600
Mailing address:
  • Phone: 443-756-6599
  • Fax: 949-543-2600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ALICIA O SCOTT
Title or Position: PROVIDER/OWNER
Credential: CRNP-PMHNP BC
Phone: 443-756-6599