Marlene Denessen, PHD
Individual provider Active NPI Psychologist · Wellfleet, MA
NPI 1043362007 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043362007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- MA3294 (MA)
- Practice address
- 715 Old Kings Highway
Wellfleet, MA 02667 - Phone
- (508) 896-7790
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
715 Old Kings Hwy
Wellfleet, MA 02667-8013
Phone (508) 896-7790
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100416000265 | MA | Practitioner - Clinical Psychologist | 3971630302 | Practice locations: Wellfleet, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA3294 | MA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MA3294 | MA | Yes |
Addresses
Primary practice location
715 Old Kings Highway
Wellfleet, MA 02667
Mailing address
PO Box 1136
South Wellfleet, MA 02663
Phone (508) 896-7790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106386 | Other | UNITED BEH HEALTH | |
| 004128 | Other | HARVARD PILGRIM |
Other names
- Marlene Wilcox
Other providers in Wellfleet, MA
- Laura E Cappello
- Compass Points Home Health Care LLC
- Marvin B Corlette
- Lawrence Coulter
- Abigail Crocker
- James T Dwyer
- Gretchen A Eckel
- Kimberly Fasoli
- Feneta Forbes-Crowe
- Susannah Elisabeth Fulcher
All providers in Wellfleet, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.