Active NPI
Marla M Sanzone, PHD
- Clinical Psychologist
- Annapolis, MD
National Provider Identifier
1023135183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2981
- Practice address
- 104 Annapolis St
A
Annapolis, MD 21401-1310 - Phone
- (410) 626-1040
- Fax
- (410) 626-1060
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2981 | MD | Primary |
Addresses
Primary practice location
104 Annapolis St
A
Annapolis, MD 21401-1310
Mailing address
104 Annapolis St
A
Annapolis, MD 21401-1310
Phone (410) 626-1040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GL13 | Other | MD | BCBS MARYLAND PIN |
| B952 | Other | MD | BCBS FEDERAL PIN |
| G113 | Other | MD | BCBS GL13 CONFUSION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2013 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2981 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023135183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ANNAPOLIS ST",
"address_2": "A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011310",
"telephone_number": "410-626-1040",
"fax_number": "410-626-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ANNAPOLIS ST",
"address_2": "A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011310",
"telephone_number": "410-626-1040",
"fax_number": "410-626-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANZONE",
"first_name": "MARLA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "2981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MARYLAND PIN",
"identifier": "GL13",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL PIN",
"identifier": "B952",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GL13 CONFUSION",
"identifier": "G113",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.