Individual provider Active NPI

Mark Price

  • Health Psychologist
  • Parma, OH
National Provider Identifier
1073932711
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
7142 Issued in OH
Practice address
8787 Brookpark Rd
Home Based Primary Care
Parma, OH 44129-6809
Phone
(216) 739-7000
Fax
(216) 739-7086
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 7142 OH Primary

Addresses

Primary practice location

8787 Brookpark Rd
Home Based Primary Care
Parma, OH 44129-6809

Mailing address

8787 Brookpark Rd
Home Based Primary Care
Parma, OH 44129-6809
Phone (216) 739-7000

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

State licenses

LicenseStateTypeSpecialty
7142OHMDHealth Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1073932711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "address_2": "HOME BASED PRIMARY CARE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296809",
            "telephone_number": "216-739-7000",
            "fax_number": "216-739-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "address_2": "HOME BASED PRIMARY CARE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296809",
            "telephone_number": "216-739-7000",
            "fax_number": "216-739-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "OH",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.