Marc Kepner LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8035 Issued in FL

Legal business name

MARC KEPNER LLC

Practice address

9224 NW 59TH LN
Gainesville, FL 32653-2880

Phone

(352) 226-8210

NPI assigned

Jul 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marc D Kepner, PSY.D.NPI 1477709996

Title

MGRM

Phone

(352) 226-8210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Duane Kepner, PSY.D.

  • Psychologist
  • Cincinnati, OH
  • NPI 1477709996

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1003257189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 NW 59TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532880",
            "telephone_number": "352-226-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 NW 59TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532880",
            "telephone_number": "352-226-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC KEPNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "KEPNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "352-226-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadia Maqsood, M.D.
• Rachelle Elaine Maracic, ARNP
• Michael Kevin Maraist, MD
• Alissa Marangoni
• Jennifer Maranowicz, RD
• Vince J Marceau, PA-C, MS
• Nathan Paul Marcellino, PA-C
• Allan W. March, M.D.
• Keith L March, M.D.
• Brittany Marchand

• Clinical Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.