David M Marvin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-10841 Issued in AR

Practice address

1001 12TH Ave Ste 174
Fort Worth, TX 76104-3927

Phone

(682) 200-1744

NPI assigned

Jul 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Progressive Psychiatry, P.a.

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1871475913
  NPD

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1073929683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W LEUDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043306",
            "telephone_number": "682-200-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 174",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043927",
            "telephone_number": "682-200-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 W Leuda St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043306",
            "country_code": "US",
            "telephone_number": "682-200-1744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-10841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dahyan M Marulanda, OT
• Beth Marunich, LMT
• Julia Drab Marut, LCSW
• Thomas L Marvelli, M. D.
• Andrew L Marvin, RN
• Katherine Anne Marx, CRNA
• Mary Dainty, M.a., LPC-S
• Mary M Carter
• Mary Milam, M.D., P.a.
• Mas Monitoring LLC

• Psychiatry Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.