Organization Active NPI

Dr. Roffman & Associates

Doing business as Drs. Roffman, Cavanagh and Associates

  • Adolescent and Children Mental Health Clinic/Center
  • Stevenson, MD
National Provider Identifier
1770319576
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
DR. ROFFMAN & ASSOCIATES
Doing business as
Drs. Roffman, Cavanagh and Associates
Practice address
10400 Stevenson Rd Ste 102
Stevenson, MD 21153-0600
Phone
(410) 561-3651
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Nancy Roffman, PSY.D.NPI 1861706798
Title
President
Phone
(410) 561-3651

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

10400 Stevenson Rd Ste 102
Stevenson, MD 21153-0600

Mailing address

7936 Starburst Dr
Baltimore, MD 21208-3036
Phone (410) 292-2743

Other names 1

  • Drs. Roffman, Cavanagh and Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1770319576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 STARBURST DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083036",
            "telephone_number": "410-292-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 STEVENSON RD STE 102",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530600",
            "telephone_number": "410-561-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROFFMAN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "ROFFMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-561-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Roffman, Cavanagh and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevenson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.