Active NPI
Jonathan Marmorstein, MA, LPA
- Psychologist
- Wilmington, NC
National Provider Identifier
1184783722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3318
- Practice address
- 615 Shipyard Blvd
Wilmington, NC 28412-6431 - Phone
- (910) 343-0145
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3318 | NC | Primary |
| Clinical Psychologist | 103TC0700X | 3318 | NC |
Addresses
Primary practice location
615 Shipyard Blvd
Wilmington, NC 28412-6431
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other practice location 1
1703 Country Club Rd
Suite 204
Jacksonville, NC 28546-6006
Phone (910) 347-3010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068AF | Other | NC | BC/BS |
| 6107479 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3318 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Psychological and Psychiatric Health SRVS, PA | Psychologist | Past | Accepting new patients |
| Resolutions Counseling and Mediation Services, PLLC | Past | Accepting new patients | |
| Maritime Psychological Services PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychologist
- Jacksonville, NC
- NPI 1770561193
-
- Psychologist
- Wilmington, NC
- NPI 1700594504
-
- Clinical Social Worker
- Jacksonville, NC
- NPI 1982868501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1184783722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
}
],
"practiceLocations": [
{
"address_1": "1703 Country Club Rd",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466006",
"country_code": "US",
"telephone_number": "910-347-3010",
"fax_number": "910-347-3201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARMORSTEIN",
"first_name": "JONATHAN",
"credential": "MA, LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3318",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3318",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "068AF",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107479",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.