Individual provider Active NPI

Mark C. Feinstein, D.O.

  • Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1033176755
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
006223 Issued in AZ
Practice address
6501 E Greenway Pkwy # 103-468
Scottsdale, AZ 85254-2025
Phone
(480) 695-8600
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 44430 WI
Psychiatry Physician 2084P0800X DO 565 SC
Psychiatry Physician 2084P0800X 006223 AZ Primary

Addresses

Primary practice location

6501 E Greenway Pkwy # 103-468
Scottsdale, AZ 85254-2025

Mailing address

2 Fishing PT
Elgin, SC 29045-8636
Phone (480) 695-8600

Other practice location 1

1035 Cheraw Street
Bennettsville, SC 29512-0918
Phone (843) 454-0841

Other practice location 2

2 Fishing Pt
Elgin, SC 29045-8636
Phone (480) 695-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111208000731 SC Practitioner - PsychiatryPractitioner - Osteopathic Manipulative Medicine 1456253517 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
006223AZMDPsychiatry Physician
DO 565SCMDPsychiatry Physician
44430WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Carolina Psychiatric Services, Inc Psychiatry CurrentSince Jun 13, 2019 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 22, 2013 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Past Accepting new patients
Child and Family Consultants Past Accepting new patients
Harbor Community Psychological Associates SC Past Accepting new patients
South Carolina Department of Mental Health Accounting Office Past Accepting new patients

Locations

1035 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0442

817 Brown St
Bishopville, SC 29010
Phone (803) 484-9414

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

160 Medical Cir
Fl 1
West Columbia, SC 29169
Phone (803) 796-6811

Interoperability endpoints

  • Direct secure messaging: mark.feinstein.1@33079.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1033176755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FISHING PT",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458636",
            "telephone_number": "480-695-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY # 103-468",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542025",
            "telephone_number": "480-695-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Cheraw Street",
            "address_purpose": "LOCATION",
            "city": "Bennettsville",
            "state": "SC",
            "postal_code": "295120918",
            "country_code": "US",
            "telephone_number": "843-454-0841",
            "fax_number": "843-454-0635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Fishing Pt",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "SC",
            "postal_code": "290458636",
            "country_code": "US",
            "telephone_number": "480-695-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEINSTEIN",
        "first_name": "MARK",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "44430",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "DO 565",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "006223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.