Mark Nathaniel Nusbaum, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2675 Issued in MD

Practice address

9841 Broken Land Pkwy Ste 116
Columbia, MD 21046-3060

Phone

(301) 490-0778

Fax

(410) 672-4011

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Joseph a. Maravi, LLC

  • Clinical Social Worker
  • Laurel, MD
  • NPI 1497232433
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1154340636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 BROKEN LAND PKWY STE 116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463060",
            "telephone_number": "301-490-0778",
            "fax_number": "410-672-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 BROKEN LAND PKWY STE 116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463060",
            "telephone_number": "301-490-0778",
            "fax_number": "410-672-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSBAUM",
        "first_name": "MARK",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Nugent, LGPC
• Josiah Nuguid
• Sofiya Nukalo
• Nurseright Health Services
• Nurseright Health Services
• Nusmiles Orthodontics
• Nusmiles Orthodontics
• Alexandra Nuttall
• Nuvasive Clinical Services Monitoring, Inc.
• Augustine B Nwabueze, MD

• Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.