NPIMap

Organization Active NPI

Therapeutic Superventions, Inc.

  • Clinical Psychologist
  • Burtonsville, MD
National Provider Identifier
1053843029
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03945 Issued in MD
Legal business name
THERAPEUTIC SUPERVENTIONS, INC.
Practice address
3905 National Dr Ste 230
Burtonsville, MD 20866-6101
Phone
(240) 650-0779
Fax
(443) 583-3872
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Geeta Sarphare, PH.D.NPI 1104945070
Title
President
Phone
(301) 256-5243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 03945 MD
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 03945 MD Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 03945 MD
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 03945 MD
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X 03945 MD

Addresses

Primary practice location

3905 National Dr Ste 230
Burtonsville, MD 20866-6101

Mailing address

14373 Howard Rd
Dayton, MD 21036-1014
Phone (301) 256-5243

Other practice location 1

3919 National Dr Ste 110
Burtonsville, MD 20866-1106
Phone (240) 650-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170428001205 DC Part B Supplier - Clinic/Group Practice 9931486909 Receives reassigned benefits from 2 practitioners
Practice locations: Burtonsville, MD

National Provider Directory

National Provider Directory

Locations

3919 National Dr
Ste 110
Burtonsville, MD 20866
Phone (240) 650-0779

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1053843029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14373 HOWARD RD",
            "city": "DAYTON",
            "state": "MD",
            "postal_code": "210361014",
            "telephone_number": "301-256-5243",
            "fax_number": "443-583-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 230",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666101",
            "telephone_number": "240-650-0779",
            "fax_number": "443-583-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 National Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Burtonsville",
            "state": "MD",
            "postal_code": "208661106",
            "country_code": "US",
            "telephone_number": "240-650-0779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPEUTIC SUPERVENTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "SARPHARE",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-256-5243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "03945",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03945",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "03945",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "03945",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MD",
            "license": "03945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.