Marcellus R. Cephas Md LLC (NPI# 1659752467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider Identifier (NPI) | 1659752467 |
Entity Type | Organization |
Organization Name | MARCELLUS R. CEPHAS MD LLC |
Practice Address |
7610 Carroll Ave Suite 200 Takoma Park MD 20912-6384 |
Practice Telephone | 3018912077 |
Practice Fax Number | 3018912080 |
Mailing Address |
7610 Carroll Ave Suite 200 Takoma Park MD 20912-6384 |
Mailing Telephone | 3018912077 |
Mailing Fax Number | 3018912080 |
Authorized Official Name | Dr. Marcellus Ryan Cephas (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3018912077 |
Authorized Official Credential | M.D. |
Organization Subpart | No, this organization is not a Subpart |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-06-17 |
Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
---|---|---|---|---|---|
No | 101YM0800X | Counselor · Mental Health | Behavioral Health & Social Service Providers | LC3762 | MD |
No | 1041C0700X | Social Worker · Clinical | Behavioral Health & Social Service Providers | 13814 | MD |
No | 1041C0700X | Social Worker · Clinical | Behavioral Health & Social Service Providers | 17917 | MD |
Yes | 103TP0016X | Psychologist · Prescribing (Medical) | Behavioral Health & Social Service Providers | D0059532 | MD |
State | Identifier | Issuer | Type Code |
---|---|---|---|
MD | G01202 | OTHER | P/10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821479635 | Marcellus R. Cephas Md LLC | Counselor | 1405 Madison Park Dr, Suite 1b, Glen Burnie, MD 21061-5627 | 2015-06-17 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. |
Notes: Source: American Psychological Association, www.apa.org [1/1/2007: new, 1/1/2019: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457512543 | Michael Brody | Psychologist | 10412 Crossing Creek Rd, Potomac, MD 20854-4201 | 2008-06-20 |
1982811709 | Jane E Jackson | Psychologist | 3512 Sandy Ct, Kensington, MD 20895-1420 | 2007-05-17 |
1811509805 | United Counseling and Support Services | Psychologist | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
1134656747 | Dennis Gates, Mental Health LLC | Psychologist | 9500 Arena Dr, Suite 432, Largo, MD 20774-3701 | 2017-05-12 |
1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
1174961700 | The Robert Sylvia Group | Psychologist | 1800 N Charles St, Suite 206, Baltimore, MD 21201-5920 | 2013-06-05 |
1518117761 | Carroll Counseling Center, LLC | Psychologist | 1380 Progress Way, Suite 101, Eldersburg, MD 21784-6464 | 2008-09-24 |
1780853325 | Shore Psychiatric Associates, LLC | Psychologist | 8221 Teal Dr, Suite 406, Easton, MD 21601-7227 | 2008-02-28 |
1467663989 | Mark Weist | Psychologist | 701 W Pratt St, Baltimore, MD 21201-1023 | 2007-05-25 |
1730143991 | Emerald Health Center, Inc | Psychologist | 217 Main St, Reisterstown, MD 21136-1213 | 2006-04-14 |
Find all providers with the same taxonomy |
Street Address |
7610 CARROLL AVE SUITE 200 |
City | TAKOMA PARK |
State | MD |
Zip Code | 20912-6384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942205398 | Smith S. Ho, Md, Pa | Internal Medicine | 7610 Carroll Ave, Ste 280, Takoma Park, MD 20912-6302 | 2005-06-14 |
1508409541 | Amanda Polhemus | Nurse Practitioner | 7610 Carroll Ave, Takoma Park, MD 20912-6384 | 2019-10-22 |
1073055950 | Adventist Physician Services, Inc. | Clinic/Center | 7610 Carroll Ave, Suite 420, Takoma Park, MD 20912-6384 | 2016-11-09 |
1104287036 | Chinatu P. Ego-osuala LLC | Dentist | 7610 Carroll Ave, 480, Takoma Park, MD 20912-6384 | 2016-03-20 |
1235504150 | Meaghan Butler | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-12-03 |
1386017119 | Lauren Schmittle | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-11-02 |
1255730131 | Conni Nevills | Nurse Practitioner | 7610 Carroll Ave, Suite 400, Takoma Park, MD 20912-6384 | 2014-08-18 |
1790192656 | Leela A Chacko Md LLC | Clinic/Center | 7610 Carroll Ave, Suite 390, Takoma Park, MD 20912-6384 | 2014-07-12 |
1659701027 | Paul R O'keeffe | Social Worker | 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6312 | 2013-11-20 |
1407282866 | Vascular Centers of America LLC | Internal Medicine | 7610 Carroll Ave, Suite 100, Takoma Park, MD 20912-6384 | 2013-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
Find all providers in zip 20912 |
City | TAKOMA PARK |
Zip Code | 20912 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.