MARCELLUS R CEPHAS MD LLC NPI 1821479635

NPI Information

NPI: 1821479635
Provider Name: MARCELLUS R CEPHAS MD LLC
Classification: Psychologist - 103TP0016X
Specialization: Prescribing (Medical)
Entity Type: Organization
Address: 1916 CRAIN HIGHWAY
SUITE 12
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 487-6302

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NPI Details

MARCELLUS R CEPHAS MD LLC is a prescribing (medical) psychologist in Glen Burnie, MD. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MARCELLUS R CEPHAS MD LLC NPI is 1821479635. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1916 CRAIN HIGHWAY
SUITE 12
GLEN BURNIE, MD
ZIP 21061-563
Phone: (410) 487-6302
Fax: (301) 576-7397

The provider's authorized official is Marcellus Ryan Cephas .
The authorized official title is Medical Director, Owner and has the following contact phone number (301) 891-2077.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 7/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LC3762	MARYLAND	No
2	103TP0016X	Psychologist	Prescribing (Medical)	D0059532	MARYLAND	Yes
3	103TP0016X	Psychologist	Prescribing (Medical)	R193679	MARYLAND	No
4	1041C0700X	Social Worker	Clinical	13814	MARYLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	803307201	MEDICAID	MARYLAND
2	G01202	OTHER	MARYLAND	P/10

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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