Active NPI
Jill Ann Marshall, LIC, MS
- Clinical Psychologist
- Harrisburg, PA
National Provider Identifier
1033223979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006888-L
- Practice address
- 3235 N 3Rd St
Harrisburg, PA 17110-1308 - Phone
- (717) 234-3839
- Fax
- (717) 234-6247
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 006888-L | PA | Primary |
Addresses
Primary practice location
3235 N 3Rd St
Harrisburg, PA 17110-1308
Mailing address
4 Sandy CT
Enola, PA 17025-1530
Phone (717) 732-4317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02128001 | Other | PA | CAPITAL BLUE CROSS |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006888-L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Psychological & Therapeutic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Harrisburg, PA
- NPI 1750398715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033223979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SANDY CT",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251530",
"telephone_number": "717-732-4317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 N 3RD ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101308",
"telephone_number": "717-234-3839",
"fax_number": "717-234-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "LIC, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "006888-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02128001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.