Active NPI
Mark R Stein, PH.D.
- Psychologist
- Cary, NC
National Provider Identifier
1174576540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1032
- Practice address
- 2000 Regency Pkwy
Suite 204
Cary, NC 27518-8507 - Phone
- (919) 469-2800
- Fax
- (919) 469-8294
- NPI assigned
- May 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1032 | NC | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 1032 | NC | |
| Adult Development & Aging Psychologist | 103TA0700X | 1032 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1032 | NC | |
| Clinical Psychologist | 103TC0700X | 1032 | NC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1032 | NC | |
| Family Psychologist | 103TF0000X | 1032 | NC |
Addresses
Primary practice location
2000 Regency Pkwy
Suite 204
Cary, NC 27518-8507
Mailing address
2000 Regency Pkwy
Suite 204
Cary, NC 27518-8507
Phone (919) 469-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005000246 | NC | Practitioner - Clinical Psychologist | 7517992811 | Practice locations: Chapel Hill, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
141 Providence Rd
Suite 100
Chapel Hill, NC 27514-6219
Phone (919) 406-7265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cohesive Pathways, PC | Past | Accepting new patients | |
| Lita W. Russell, PH.D., PLLC | Psychologist | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Chapel Hill, NC
- NPI 1003034547
-
- Psychologist
- Chapel Hill, NC
- NPI 1467161422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1174576540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 REGENCY PKWY",
"address_2": "SUITE 204",
"city": "CARY",
"state": "NC",
"postal_code": "275188507",
"telephone_number": "919-469-2800",
"fax_number": "919-469-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 REGENCY PKWY",
"address_2": "SUITE 204",
"city": "CARY",
"state": "NC",
"postal_code": "275188507",
"telephone_number": "919-469-2800",
"fax_number": "919-469-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1032",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1032",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NC",
"license": "1032",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "1032",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1032",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "1032",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NC",
"license": "1032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.