Active NPI
Marcellus R Cephas MD LLC
- Prescribing (Medical) Psychologist
- Takoma Park, MD
National Provider Identifier
1659752467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- D0059532
- 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 LLC
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC3762 | MD | |
| Prescribing (Medical) Psychologist | 103TP0016X | D0059532 | MD | Primary |
| Clinical Social Worker | 1041C0700X | 17917 | MD | |
| Clinical Social Worker | 1041C0700X | 13814 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G01202 | Other | MD | P/10 |
| 1659752467 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Marcellus R Cephas MD LLC
- 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.
-
- Psychiatry Physician
- Takoma PK, MD
- NPI 1366579013
-
- Prescribing (Medical) Psychologist
- Glen Burnie, MD
- NPI 1821479635
-
- Clinical Social Worker
- Takoma Park, MD
- NPI 1679911713
-
- Prescribing (Medical) Psychologist
- Glen Burnie, MD
- NPI 1538548664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Whitesboro, NY
- NPI 1134116007
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.