NPIMap

Organization Active NPI

Marcellus R. Cephas, MD LLC

  • Prescribing (Medical) Psychologist
  • Glen Burnie, MD
National Provider Identifier
1538548664
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
MARCELLUS R. CEPHAS, MD LLC
Practice address
1405 Madison Park Dr
Suite 1B
Glen Burnie, MD 21061-5627
Phone
(410) 487-6302
Fax
(301) 891-2080
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Dr. Marcellus Cephas, M.D.NPI 1134116007
Title
Medical Director
Phone
(301) 891-2077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1405 Madison Park Dr
Suite 1B
Glen Burnie, MD 21061-5627

Mailing address

7610 Carroll Ave Ste 200
Takoma Park, MD 20912-6312
Phone (301) 891-2077

Other identifiers 1

IdentifierTypeStateIssuer
402288201MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Marcellus R Cephas MD LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1538548664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 200",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126312",
            "telephone_number": "301-891-2077",
            "fax_number": "301-891-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MADISON PARK DR",
            "address_2": "SUITE 1B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615627",
            "telephone_number": "410-487-6302",
            "fax_number": "301-891-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLUS R. CEPHAS, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "CEPHAS",
        "authorized_official_first_name": "MARCELLUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-891-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402288201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.