Marcia Marie Middel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1757 Issued in CO

Practice address

27TH Special Operations Medical Group
224 D. L. Ingram Ave BLD. 1408
Cannon Afb, NM 88103

Phone

(575) 904-3951

NPI assigned

Sep 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Marcia M. Middel

  • Clinical Psychologist
  • Montrose, CO
  • NPI 1124647383
  NPD

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1194710863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 COBBLE DR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814037813",
            "telephone_number": "720-291-9792",
            "fax_number": "888-537-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27TH SPECIAL OPERATIONS MEDICAL GROUP",
            "address_2": "224 D. L. INGRAM AVE BLD. 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-904-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Cobble Dr",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814037813",
            "country_code": "US",
            "telephone_number": "720-291-9792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDEL",
        "first_name": "MARCIA",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1757",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "PSY.0001757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Manipud Marquez, DNP, FNP, RN
• Sara Jean Mathews, MD
• Clifford J McArthur, MS, RDN, CSSD
• Edward McMillan
• Randy C Michael, DO
• Katherine Milam, D.O.
• Paul Joseph Milazzo, M.S.W.
• Lacye Jean Mills, BSN, RN
• Joshua Morales
• Sang Ngo

• Clinical Psychologist in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.