Michael Marks, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12033 Issued in FL

Practice address

20747 Sterlington Dr
Land O Lakes, FL 34638-4317

Phone

(813) 344-5235

NPI assigned

Sep 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Michael Marks PSYD, LLC

  • Clinical Psychologist
  • Land O Lakes, FL
  • NPI 1316712680
  NPD Authorized official

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1124808985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S NEW JERSEY AVE UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "813-344-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Mansour, DO
• Heather Suzanne Mapes, LCSW
• Marcia a. Howell
• Veronica Mardo, M.D.
• Angela Claire Marina, COTA/L
• Michaell Sthephanie Marn, LCSW
• Daniela Marquez Borroto
• Maria Clarissa T Marquinez, PT
• Ailis Marrero, MD
• Antwuan Donnell Martin

• Clinical Psychologist in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.