Active NPI
Michael Demarco, PHD
- Marriage & Family Therapist
- Palm Springs, CA
National Provider Identifier
1083795983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 129353
- Practice address
- 301 N Palm Canyon Dr # 301-1061
Palm Springs, CA 92262-5672 - Phone
- (760) 760-4007
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2337 | NY | |
| Marriage & Family Therapist | 106H00000X | 136 | NY | |
| Marriage & Family Therapist | 106H00000X | 0073062 | VT | |
| Marriage & Family Therapist | 106H00000X | 129353 | CA | Primary |
Addresses
Primary practice location
301 N Palm Canyon Dr # 301-1061
Palm Springs, CA 92262-5672
Mailing address
301 N Palm Canyon Dr # 301-1061
Palm Springs, CA 92262-5672
Phone (760) 760-4007
Other practice location 1
116 West 23rd St, Ste 500
new york, NY 10011
Phone (212) 343-7008
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2337 | NY | MD | Mental Health Counselor |
| 129353 | CA | MD | Marriage & Family Therapist |
| 136 | NY | MD | Marriage & Family Therapist |
| 0073062 | VT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychedelic Institute of Mental Health & Family Therapy, PC | Marriage & Family Therapist | Current | Accepting new patients |
| Ehab Yacoub MD Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
301 N Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 760-4007
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Palm Springs, CA
- NPI 1144934332
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1083795983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N PALM CANYON DR # 301-1061",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625672",
"telephone_number": "760-760-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N PALM CANYON DR # 301-1061",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625672",
"telephone_number": "760-760-4007"
}
],
"practiceLocations": [
{
"address_1": "116 West 23rd St, Ste 500",
"address_purpose": "LOCATION",
"city": "new york",
"state": "NY",
"postal_code": "10011",
"country_code": "US",
"telephone_number": "212-343-7008",
"fax_number": "212-343-7008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARCO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "2337",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "136",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VT",
"license": "0073062",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "129353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.