Stephanie R Marder

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1500154 Issued in OH

Practice address

6559 C Wilson Mills Road
Suite 102
Mayfield Village, OH 44122

Phone

(440) 460-0140

NPI assigned

May 15, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1235629312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 C WILSON MILLS ROAD",
            "address_2": "SUITE 102",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "440-460-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 C WILSON MILLS ROAD",
            "address_2": "SUITE 102",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "440-460-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDER",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Leichtman, PHD, LPCC
• Melissa Li-NG, M.D.
• Madilyn Maikut, BCBA, COBA
• Aven Dawn Malec, DO
• David R Mandel, M.D.
• Margaret D. Ashenberg, LLC
• Marian E. Krieger, PH.D.,LLC
• Sandra A Martin, A.T.C.
• Mayfield Physical Therapy Inc
• Mayfield Smiles

• Mental Health Counselor in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.