Individual provider Active NPI

Marc Thomas Frankel, PH.D.

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1033109434
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY01123 Issued in MO
Practice address
23 Bellerive Acres
Saint Louis, MO 63121-4328
Phone
(314) 495-4843
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY01123 MO Primary

Addresses

Primary practice location

23 Bellerive Acres
Saint Louis, MO 63121-4328

Mailing address

6642 Clayton Rd # 382
Saint Louis, MO 63117-1602
Phone (314) 725-8889

Other practice location 1

225 S Meramec Ave
Suite 504
Saint Louis, MO 63105-3511
Phone (314) 725-8889 ext. 1

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY01123MOMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1033109434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 CLAYTON RD # 382",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171602",
            "telephone_number": "314-725-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BELLERIVE ACRES",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214328",
            "telephone_number": "314-495-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Meramec Ave",
            "address_2": "Suite 504",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631053511",
            "country_code": "US",
            "telephone_number": "314-725-8889 x1",
            "fax_number": "314-721-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKEL",
        "first_name": "MARC",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY01123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.