Active NPI
Marcella M Marcey, PH.D.
- Clinical Psychologist
- Bluemont, VA
National Provider Identifier
1245311562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810000263
- Practice address
- 224 Barker LN
Bluemont, VA 20135-5102 - Phone
- (703) 934-8584
- Fax
- (703) 934-8584
- NPI assigned
- Oct 17, 2006
- Last updated
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 03417 | MD | |
| Clinical Psychologist | 103TC0700X | 0810000263 | VA | Primary |
Addresses
Primary practice location
224 Barker LN
Bluemont, VA 20135-5102
Mailing address
224 Barker LN
Bluemont, VA 20135-5102
Phone (703) 934-8584
Other practice location 1
2483 Cheyenne Dr
Gambrills, MD 21054-1695
Phone (410) 721-4802
Other practice location 2
9840 Main St Ste 203
Fairfax, VA 22031-3909
Phone (703) 934-8584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403385000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200630001090 | VA | Practitioner - Clinical Psychologist | 2668386251 | Practice locations: Bluemont, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
224 Barker LN
Bluemont, VA 20135-5102
Phone (703) 934-8584
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03417 | MD | MD | Clinical Psychologist |
Interoperability endpoints
- marcella.marcey.2@29759.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1245311562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 BARKER LN",
"city": "BLUEMONT",
"state": "VA",
"postal_code": "201355102",
"telephone_number": "703-934-8584",
"fax_number": "703-934-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 BARKER LN",
"city": "BLUEMONT",
"state": "VA",
"postal_code": "201355102",
"telephone_number": "703-934-8584",
"fax_number": "703-934-8584"
}
],
"practiceLocations": [
{
"address_1": "2483 Cheyenne Dr",
"address_purpose": "LOCATION",
"city": "Gambrills",
"state": "MD",
"postal_code": "210541695",
"country_code": "US",
"telephone_number": "410-721-4802",
"fax_number": "410-721-4802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9840 Main St Ste 203",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220313909",
"country_code": "US",
"telephone_number": "703-934-8584",
"fax_number": "703-934-9269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCEY",
"first_name": "MARCELLA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03417",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403385000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluemont, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.