Organization Active NPI

Maryland Center for Evidence Based Therapy LLC

  • Clinical Psychologist
  • Chevy Chase, MD
National Provider Identifier
1982490454
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARYLAND CENTER FOR EVIDENCE BASED THERAPY LLC
Practice address
5530 Wisconsin Ave Ste 965
Chevy Chase, MD 20815-4325
Phone
(913) 912-3545
NPI assigned
Apr 19, 2025
Last updated
Apr 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Authorized official

Name
Dr. John P. Dennis, PHDNPI 1033400247
Title
Sole Member
Phone
(913) 912-3545

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 965
Chevy Chase, MD 20815-4325

Mailing address

14317 Shoreham Dr
Silver Spring, MD 20905-4481
Phone (913) 912-3545

Other names 1

  • Maryland Center for Evidence Based Therapy LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5530 Wisconsin Ave
Ste 965
Chevy Chase, MD 20815
Phone (202) 420-8311

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": "1745020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1982490454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14317 SHOREHAM DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054481",
            "telephone_number": "913-912-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 965",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154325",
            "telephone_number": "913-912-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CENTER FOR EVIDENCE BASED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "913-912-3545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Center for Evidence Based Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.