MMC Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MMC PSYCHOTHERAPY LLC

Practice address

8601 Georgia Ave Ste 712
Silver Spring, MD 20910-3439

Phone

(202) 505-1848

Fax

(240) 788-6198

NPI assigned

Jan 18, 2020

Last updated

Oct 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Morad-McCoy, PH.D., LPCCNPI 1447469101

Title

Clinical Director

Phone

(202) 505-1848

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Morad-McCoy, PH.D., LPCC

  • Mental Health Counselor
  • Silver Spring, MD
  • NPI 1447469101
  NPD Authorized official

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1295365260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 GEORGIA AVE STE 712",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103439",
            "telephone_number": "202-505-1848",
            "fax_number": "240-788-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 GEORGIA AVE STE 712",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103439",
            "telephone_number": "202-505-1848",
            "fax_number": "240-788-6198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 McLeod Rd NE Ste F",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871092467",
            "country_code": "US",
            "telephone_number": "505-750-1229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MMC PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-18",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "MORAD-MCCOY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "202-505-1848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79805540",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.