Organization Active NPI

Marcellus R Cephas MD LLC

  • Prescribing (Medical) Psychologist
  • Takoma Park, MD
National Provider Identifier
1659752467
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
D0059532 Issued in MD
Legal business name
MARCELLUS R CEPHAS MD LLC
Practice address
7610 Carroll Avenue, Suite 470
Takoma Park, MD 20912-6312
Phone
(301) 891-2077
Fax
(301) 576-7397
NPI assigned
Jun 17, 2015
Organization subpart
Yes
Parent organization
MARCELLUS R CEPHAS MD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Dr. Marcellus Ryan Cephas, M.D.NPI 1134116007
Title
Owner-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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC3762 MD
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X D0059532 MD Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 17917 MD
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13814 MD
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

7610 Carroll Avenue, Suite 470
Takoma Park, MD 20912-6312

Mailing address

7610 Carroll Avenue, Suite 470
Takoma Park, MD 20912-6312
Phone (301) 891-2077

Other identifiers 2

IdentifierTypeStateIssuer
G01202OtherMDP/10
1659752467MedicaidMD

National Provider Directory

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

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": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1659752467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVENUE, SUITE 470",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126312",
            "telephone_number": "301-891-2077",
            "fax_number": "301-576-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVENUE, SUITE 470",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126312",
            "telephone_number": "301-891-2077",
            "fax_number": "301-576-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLUS R CEPHAS MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCELLUS R CEPHAS MD LLC",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "CEPHAS",
        "authorized_official_first_name": "MARCELLUS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER-MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-891-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC3762",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MD",
            "license": "D0059532",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13814",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P/10",
            "identifier": "G01202",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659752467",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.