Organization Active NPI

Therapeutic Health Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1851785869
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THERAPEUTIC HEALTH ASSOCIATES, LLC
Practice address
2191 Defense Hwy
Suite 314
Crofton, MD 21114-2931
Phone
(410) 451-3000
Fax
(410) 630-7625
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Mrs. Courtney Marshall
Title
Owner
Phone
(443) 285-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2191 Defense Hwy
Suite 314
Crofton, MD 21114-2931

Mailing address

1861 E Queens CT
Crofton, MD 21114-2626

National Provider Directory

National Provider Directory

Locations

2191 Defense Hwy
Ste 314
Crofton, MD 21114
Phone (410) 451-3000

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1851785869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 E QUEENS CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY",
            "address_2": "SUITE 314",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142931",
            "telephone_number": "410-451-3000",
            "fax_number": "410-630-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-285-3855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.