Maxine Molly Marcus, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9902 Issued in NY

Practice address

18 Crescent Rd
Great Neck, NY 11021-2709

Phone

(516) 482-6089

Fax

(516) 482-6089

NPI assigned

Dec 31, 2006

Last updated

May 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1215093398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CRESCENT RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212709",
            "telephone_number": "516-482-6089",
            "fax_number": "516-482-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CRESCENT RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212709",
            "telephone_number": "516-482-6089",
            "fax_number": "516-482-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "MAXINE",
        "middle_name": "MOLLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "9902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Marcic, NP
• Patrick Marckesano
• Jerelyn Rose Marcus, O.D.
• Joseh C Marcus, MD
• Judith Marcus, MD
• Paul R Marcus, PHD
• Margarita Sadykova Sofiev NP in Family Health PC
• Avigail Margolis, PSY.D
• Marjan Y. Tabibzadeh, MD, PLLC
• Marjorie a. Reid, M.D., P.C.

• Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.

Verify at the official NPI Registry.