NPIMap

Organization Active NPI

Marshall Psychotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ijamsville, MD
National Provider Identifier
1396249181
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
17021 Issued in MD
Legal business name
MARSHALL PSYCHOTHERAPY LLC
Practice address
2502 Urbana Pike
Ijamsville, MD 21754-8602
Phone
(301) 691-4133
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Cassandra Marshall, LCSW-CNPI 1922430388
Title
Psychotherapist
Phone
(301) 691-4133

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 17021 MD Primary

Addresses

Primary practice location

2502 Urbana Pike
Ijamsville, MD 21754-8602

Mailing address

6340 Meadow Rd
Frederick, MD 21701-6718
Phone (301) 691-4133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1396249181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 MEADOW RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016718",
            "telephone_number": "301-691-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 URBANA PIKE",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217548602",
            "telephone_number": "301-691-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "301-691-4133",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "17021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ijamsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.