NPIMap

Organization Active NPI

Safe Space for Family Healing

  • Psychologist
  • Upper Marlboro, MD
National Provider Identifier
1952170532
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SAFE SPACE FOR FAMILY HEALING
Practice address
507 Dennis Magruder Dr
Upper Marlboro, MD 20774-2110
Phone
(202) 271-5593
NPI assigned
Dec 25, 2023
Last updated
Dec 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Authorized official

Name
Dr. Abena Brown-Elhillali, PH.D.NPI 1033420625
Title
Owner
Phone
(202) 271-5593

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
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

507 Dennis Magruder Dr
Upper Marlboro, MD 20774-2110

Mailing address

507 Dennis Magruder Dr
Upper Marlboro, MD 20774-2110
Phone (202) 271-5593

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1952170532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 DENNIS MAGRUDER DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742110",
            "telephone_number": "202-271-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 DENNIS MAGRUDER DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742110",
            "telephone_number": "202-271-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE FOR FAMILY HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A",
        "authorized_official_last_name": "BROWN-ELHILLALI",
        "authorized_official_first_name": "ABENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-271-5593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.