Marcus Raymond Patterson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005630 Issued in VA

Practice address

301 N Fairfax St Ste 102-B
Alexandria, VA 22314-2635

Phone

(202) 596-1031

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Circle Mental Health Services

  • Psychologist
  • Alexandria, VA
  • NPI 1134600091
  NPD Authorized official

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1003354028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N FAIRFAX ST STE 102-B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142635",
            "telephone_number": "202-596-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N FAIRFAX ST STE 102-B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142635",
            "telephone_number": "202-596-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MARCUS",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Porter Adams Anp LLC
• Kathryn Ford Patrizia, M.S.W.
• Patterned Pathway, LLC
• Patterns Inc
• Dayne Michael Patterson, D.D.S.
• Lauren E Patton, MSOT, OTR/L
• Joyce Elaine Paulk, DC
• Paving Pathways
• Anita Marie Payne, LCSW
• Cierah Payne

• Clinical Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.