Provider Demographics
NPI:1821282807
Name:MASSEY, JOHARI MAKEBA (MA, MS, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHARI
Middle Name:MAKEBA
Last Name:MASSEY
Suffix:
Gender:F
Credentials:MA, MS, PHD
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Mailing Address - Street 1:2513 N ROLLING RD UNIT 47071
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-7603
Mailing Address - Country:US
Mailing Address - Phone:443-272-5347
Mailing Address - Fax:410-944-6290
Practice Address - Street 1:2020 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GWYNN OAK
Practice Address - State:MD
Practice Address - Zip Code:21207-5219
Practice Address - Country:US
Practice Address - Phone:646-246-9655
Practice Address - Fax:410-944-6290
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MD05339103TA0400X, 103TC2200X, 103TC0700X
NY019895103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent