Active NPI
Mark S Lowenthal, PSY D
- Clinical Psychologist
- Maplewood, NJ
National Provider Identifier
1184765745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00276000
- Practice address
- 1 Lenox Place
Maplewood, NJ 07040-2119 - Phone
- (973) 763-2777
- Fax
- (973) 763-7271
- NPI assigned
- Feb 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00276000 | NJ | Primary |
Addresses
Primary practice location
1 Lenox Place
Maplewood, NJ 07040-2119
Mailing address
17 Claremont Dr
Maplewood, NJ 07040-2119
Phone (973) 763-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00276000 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1184765745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CLAREMONT DR",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402119",
"telephone_number": "973-763-2777",
"fax_number": "973-763-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LENOX PLACE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402119",
"telephone_number": "973-763-2777",
"fax_number": "973-763-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWENTHAL",
"first_name": "MARK",
"middle_name": "S",
"credential": "PSY D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00276000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.