Individual provider Active NPI

Marshall Bewley, PH.D.

  • Counseling Psychologist
  • Denton, TX
National Provider Identifier
1093191165
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
36484 Issued in TX
Practice address
207 W Hickory St Ste 304
Denton, TX 76201-4151
Phone
(940) 294-6789
NPI assigned
Jul 30, 2015
Last updated
Apr 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 36484 TX Primary

Addresses

Primary practice location

207 W Hickory St Ste 304
Denton, TX 76201-4151

Mailing address

207 W Hickory St Ste 304
Denton, TX 76201-4151
Phone (806) 535-9803

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

LicenseStateTypeSpecialty
36484TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bewley Psychological Services, PLLC Counseling Current Accepting new patients
Bewley Psychological Services, PLLC Current Accepting new patients

Locations

207 W Hickory St
Ste 304
Denton, TX 76201
Phone (682) 234-9687

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1093191165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 304",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014151",
            "telephone_number": "806-535-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 304",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014151",
            "telephone_number": "940-294-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEWLEY",
        "first_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.