Marvel Klinic & Behavioral

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MARVEL KLINIC & BEHAVIORAL

Practice address

7375 Executive PL Ste 400
Lanham, MD 20706-6232

Phone

(301) 728-3658

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Titilayo Anjorin, NP

Title

Ceo/Owner

Phone

(301) 728-3658

Specialties & licenses 1

Addresses

Other names 1

• MARVEL KLINIC & BEHAVIORAL, LLC Other name

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1184476103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE 400",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066232",
            "telephone_number": "301-728-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE 400",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066232",
            "telephone_number": "301-728-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVEL KLINIC & BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "ANJORIN",
        "authorized_official_first_name": "TITILAYO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "301-728-3658",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARVEL KLINIC & BEHAVIORAL, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• April Victoria Martin, PHD
• Langmia Martin Sr.
• Ulysses Samuel Martin Jr., DDS
• Tania Martinez-Equizabal
• Ingrid Maria Martinez, LCPC
• Manka'a Mary Assumpta
• Fnu Mary Christy Kahma Fohtung
• Maryland Ambulatory Surgery Center LLC
• Maryland CVS Pharmacy LLC
• Maryland Oncology Hematology, P.a.

• Family Nurse Practitioner in Lanham, MD
• Providers in Lanham, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.