Individual provider Active NPI

Mark R Stein, PH.D.

  • Psychologist
  • Cary, NC
National Provider Identifier
1174576540
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1032 Issued in NC
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

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1032NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cohesive Pathways, PC PastSince May 5, 2009 Accepting new patients
Lita W. Russell, PH.D., PLLC Psychologist PastSince Nov 20, 2022 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.

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

Verify at the official NPI Registry.