Individual provider Active NPI

Marcella M Marcey, PH.D.

  • Clinical Psychologist
  • Bluemont, VA
National Provider Identifier
1245311562
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000263 Issued in VA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
403385000MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
03417MDMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.