NPIMap

Organization Active NPI

Shalaiyah D Cordoba

  • Community Health Clinic/Center
  • Laurel, MD
National Provider Identifier
1962388942
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SHALAIYAH D CORDOBA
Practice address
916 Phillip Powers Dr
Laurel, MD 20707-3517
Phone
(443) 561-6139
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Shalaiyah Cordoba, LCMFTNPI 1205534377
Title
Owner
Phone
(443) 561-6139

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

916 Phillip Powers Dr
Laurel, MD 20707-3517

Mailing address

916 Phillip Powers Dr
Laurel, MD 20707-3517

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.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1962388942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 PHILLIP POWERS DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 PHILLIP POWERS DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073517",
            "telephone_number": "443-561-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALAIYAH D CORDOBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "CORDOBA",
        "authorized_official_first_name": "SHALAIYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-561-6139",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.