Active NPI
Cope of Upper Marlboro, LLC
- Clinical Psychologist
- Upper Marlboro, MD
National Provider Identifier
1497589634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- COPE OF UPPER MARLBORO, LLC
- Practice address
- 11111 Lochton St
Upper Marlboro, MD 20774-1529 - Phone
- (301) 333-3660
- NPI assigned
- Aug 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruby Mae Jones, PH.D.
- Title
- Owner/Managing Member
- Phone
- (301) 333-3660
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
11111 Lochton St
Upper Marlboro, MD 20774-1529
Mailing address
11111 Lochton St
Upper Marlboro, MD 20774-1529
Phone (301) 333-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1724889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1497589634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 LOCHTON ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741529",
"telephone_number": "301-333-3660",
"fax_number": "301-333-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 LOCHTON ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741529",
"telephone_number": "301-333-3660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COPE OF UPPER MARLBORO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-29",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "RUBY",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
"authorized_official_telephone_number": "301-333-3660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.