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Contact Information

MARCELLUS R CEPHAS MD LLC
7610 CARROLL AVENUE, SUITE 470
TAKOMA PARK, MD20912-6312
 Phone: 301-891-2077
 Fax: 301-576-7397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARCELLUS R CEPHAS MD LLC

NPI # 1659752467
LBN Legal business name MARCELLUS R CEPHAS MD LLC
Authorized official MARCELLUS CEPHAS - (OWNER-MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/17/2015
Last updated 02/10/2025 - More than a year ago
Identifiers
MD License # 13814
MD License # 17917
MD License # D0059532
MD License # LC3762
MD Medicaid 1659752467
MD Other G01202 P/10
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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