Active NPI
Clennie H Murphy IV
- Behavior Technician
- Silver Spring, MD
National Provider Identifier
1871219212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB835813
- Practice address
- 8609 2ND Ave Ste 506B
Silver Spring, MD 20910-3362 - Phone
- (240) 726-5909
- NPI assigned
- Oct 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB835813 | MD | Primary |
Addresses
Primary practice location
8609 2ND Ave Ste 506B
Silver Spring, MD 20910-3362
Mailing address
12802 Maidenwood Ter
Beltsville, MD 20705-6337
Phone (240) 726-5909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB835813 | MD | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1871219212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12802 MAIDENWOOD TER",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207056337",
"telephone_number": "240-726-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 2ND AVE STE 506B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103362",
"telephone_number": "240-726-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "CLENNIE",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "BACB835813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.