Jeffrey Lafferman

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LC5790 Issued in MD

Legal business name

JEFFREY LAFFERMAN

Practice address

912 Sun Circle Way
Essex, MD 21221-5946

Phone

(410) 428-6032

Fax

(410) 391-4381

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Debora Marie Floyd, LCPCNPI 1841694163

Title

Psychiatric Consultant

Phone

(410) 428-6032

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debora Floyd, LCPC

  • Professional Counselor
  • Essex, MD
  • NPI 1841694163
  NPD (past) Authorized official

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1629472931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SUN CIRCLE WAY",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215946",
            "telephone_number": "410-428-6032",
            "fax_number": "410-391-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SUN CIRCLE WAY",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215946",
            "telephone_number": "410-428-6032",
            "fax_number": "410-391-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY LAFFERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHIATRIC CONSULTANT",
        "authorized_official_telephone_number": "410-428-6032",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC5790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Essex, MD
• Providers in Essex, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.