Marc L Chernizer, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33556 Issued in TX

Practice address

2530 Eldorado Pkwy
Suite 205C
McKinney, TX 75070-4398

Phone

(972) 839-8308

Fax

(888) 977-1204

NPI assigned

Jun 3, 2008

Last updated

Jan 13, 2015By the provider in NPPES

Sex

Male

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 TX

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, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart of Shalom Ministries

  dba North Star Counseling Services

  • Clinical Psychologist
  • McKinney, TX
  • NPI 1518360783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1215196415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 ELDORADO PKWY",
            "address_2": "SUITE 205C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704398",
            "telephone_number": "972-839-8308",
            "fax_number": "888-977-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 ELDORADO PKWY",
            "address_2": "SUITE 205C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704398",
            "telephone_number": "972-839-8308",
            "fax_number": "888-977-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNIZER",
        "first_name": "MARC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Chen
• Tiffany Chen
• Ya-Lin Chen, D.D.S.
• John Bradley Chenault, NBC-HIS; A.C.A.
• Olivia Nicole Cherkas, LMT
• Honey Chemutai Cheruiyot, MD
• Cheryl Harumi, PH.D., PLLC
• Ritu Chhangani, OTR/L
• Chien Transitions MHT
• Nancy Nesi Chigede, NP

• Clinical Psychologist in McKinney, TX
• Providers in McKinney, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.