Individual provider Active NPI

Marie L. Loscavio, ED.D.

  • Counseling Psychologist
  • Marble Hill, GA
National Provider Identifier
1255572368
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY002403 Issued in GA
Practice address
25 Foothills Pkwy
Suite 215
Marble Hill, GA 30148-2261
Phone
(770) 893-3800
Fax
(706) 268-1914
NPI assigned
Mar 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY002403 GA Primary

Addresses

Primary practice location

25 Foothills Pkwy
Suite 215
Marble Hill, GA 30148-2261

Mailing address

25 Foothills Pkwy
Suite 215
Marble Hill, GA 30148-2261
Phone (770) 893-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1255572368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "SUITE 215",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-893-3800",
            "fax_number": "706-268-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "SUITE 215",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-893-3800",
            "fax_number": "706-268-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSCAVIO",
        "first_name": "MARIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY002403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.