Marcellus R Cephas MD LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

D0059532 Issued in MD

Legal business name

MARCELLUS R CEPHAS MD LLC

Practice address

1916 Crain Highway
Suite 12
Glen Burnie, MD 21061-5563

Phone

(410) 487-6302

Fax

(301) 576-7397

NPI assigned

Jun 17, 2015

Organization subpart

Yes

Parent organization

MARCELLUS R. CEPHAS MD LLCAs reported in NPPES

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

Medical Director, Owner

Phone

(301) 891-2077

Specialties & licenses 4

Addresses

Other identifiers 2

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.

• Marcellus R Cephas MD LLC

  • Psychiatry Physician
  • Takoma PK, MD
  • NPI 1366579013
  NPD tax ID
• Marcellus R Cephas MD LLC

  • Prescribing (Medical) Psychologist
  • Takoma Park, MD
  • NPI 1659752467
  NPD tax ID
• Marcellus R Cephas MD, LLC

  • Clinical Social Worker
  • Takoma Park, MD
  • NPI 1679911713
  NPD tax ID
• Marcellus R. Cephas, MD LLC

  • Prescribing (Medical) Psychologist
  • Glen Burnie, MD
  • NPI 1538548664
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcellus R Cephas, MD

  • Psychiatry Physician
  • Whitesboro, NY
  • NPI 1134116007
  NPD (past) Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1821479635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVENUE",
            "address_2": "SUITE 470",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "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": "1916 CRAIN HIGHWAY",
            "address_2": "SUITE 12",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615563",
            "telephone_number": "410-487-6302",
            "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": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "CEPHAS",
        "authorized_official_first_name": "MARCELLUS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, OWNER",
        "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": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MD",
            "license": "R193679",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803307201",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P/10",
            "identifier": "G01202",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliesha Nicole Mann, CRNP
• Arif Mannan, M.D.
• Himabindu Manneri, M.D
• Lauren Michelle Maragh, MD
• Marcella Ellis LLC
• Marcellus R. Cephas, MD LLC
• Dorine Marcellus
• Avron Marcus, M.D.
• Marcy Transportation Services LLC
• Marian'S Manor Alternative Living and Community Resources, Inc

• Prescribing (Medical) Psychologist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Prescribing (Medical) Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.