Individual provider Active NPI

Marianne Daisy Farkas, SCD

  • Psychologist
  • Lexington, MA
National Provider Identifier
1013409705
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2877 Issued in MA
Practice address
18 Kendall Rd
Lexington, MA 02421-7143
Phone
(781) 861-6840
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2877 MA Primary

Addresses

Primary practice location

18 Kendall Rd
Lexington, MA 02421-7143

Mailing address

18 Kendall Rd
Lexington, MA 02421-7143
Phone (781) 861-6840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2877MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1013409705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KENDALL RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217143",
            "telephone_number": "781-861-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KENDALL RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217143",
            "telephone_number": "781-861-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARKAS",
        "first_name": "MARIANNE",
        "middle_name": "DAISY",
        "name_prefix": "Prof.",
        "credential": "SCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.