NPIMap

Organization Active NPI

Community Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Lanham, MD
National Provider Identifier
1861520140
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5323 Issued in MD
Legal business name
COMMUNITY THERAPEUTIC SERVICES, LLC
Practice address
4409 Forbes Blvd Ste B
Lanham, MD 20706-4373
Phone
(301) 399-7811
Fax
(301) 358-6455
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Jenita Charmain Griffin, PSY.DNPI 1790725356
Title
Owner, Psychologist
Phone
(301) 399-7811

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC1507 MD
Community/Behavioral Health Agency 251S00000X 5323 MD Primary

Addresses

Primary practice location

4409 Forbes Blvd Ste B
Lanham, MD 20706-4373

Mailing address

5204 Derby Manor LN
Upper Marlboro, MD 20772-2996
Phone (301) 399-7811

Other identifiers 2

IdentifierTypeStateIssuer
409069100MedicaidMD
523110801MedicaidMD

Other names 1

  • Jenita Griffin Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Therapeutic Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1861520140",
    "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": [],
    "basic": {
        "organization_name": "COMMUNITY THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JENITA",
        "authorized_official_middle_name": "CHARMAIN",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-399-7811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1507",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "5323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409069100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523110801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenita Griffin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.