NPIMap

Organization Active NPI

Cipm, LLC

  • Adult Mental Health Clinic/Center
  • Prince Frederick, MD
National Provider Identifier
1649421835
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CIPM, LLC
Practice address
242 Merrimac Court
Prince Frederick, MD 20678-0022
Phone
(410) 535-6520
Fax
(410) 535-6523
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dr. Venera R Miller, M.D.
Title
Owner
Phone
(410) 535-6520

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 102L00000X
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

242 Merrimac Court
Prince Frederick, MD 20678-0022

Mailing address

PO Box 22
Prince Frederick, MD 20678-0022
Phone (410) 535-6520

National Provider Directory

National Provider Directory

Locations

5454 Wisconsin Ave
Ste 143
Chevy Chase, MD 20815
Phone (410) 535-6520

162 Main St
Ste 2
Prince Frederick, MD 20678
Phone (410) 535-6520

135 W Dares Beach Rd
Ste 211
Prince Frederick, MD 20678
Phone (410) 495-8075

242 Merrimac Ct
Prince Frederick, MD 20678
Phone (410) 535-6520

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1649421835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780022",
            "telephone_number": "410-535-6520",
            "fax_number": "410-535-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MERRIMAC COURT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780022",
            "telephone_number": "410-535-6520",
            "fax_number": "410-535-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "VENERA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-535-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.