Jenita Griffin, PSY.D, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05323 Issued in MD

Practice address

4409 Forbes Blvd Ste B
Lanham, MD 20706-4373

Phone

(301) 399-7811

Fax

(301) 358-6455

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Lanham, MD
  • NPI 1639597859

  DC

  Medicare reassignment Authorized official
• Community Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Lanham, MD
  • NPI 1861520140
  NPD Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790725356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 DERBY MANOR LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722996",
            "telephone_number": "301-399-7811",
            "fax_number": "301-358-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 FORBES BLVD STE B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064373",
            "telephone_number": "301-399-7811",
            "fax_number": "301-358-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5204 Derby Manor Ln",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207722996",
            "country_code": "US",
            "telephone_number": "301-399-7811",
            "fax_number": "301-358-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "MD",
            "postal_code": "207473004",
            "country_code": "US",
            "telephone_number": "301-399-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JENITA",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639597859",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Lanham, MD
• Providers in Lanham, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.