NPIMap

Organization Active NPI

Mark Denison PHD, PC, Inc

  • Psychologist
  • Clinton Township, MI
National Provider Identifier
1265706840
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301005775 Issued in MI
Legal business name
MARK DENISON PHD, PC, INC
Practice address
36359 Harper Ave
Suite a
Clinton Township, MI 48035-2958
Phone
(586) 792-5770
NPI assigned
Feb 29, 2012
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Mark Denison, PHDNPI 1831223387
Title
President
Phone
(586) 792-5770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301005775 MI Primary

Addresses

Primary practice location

36359 Harper Ave
Suite a
Clinton Township, MI 48035-2958

Mailing address

36359 Harper Ave
Suite a
Clinton Township, MI 48035-2958
Phone (586) 792-5770

National Provider Directory

National Provider Directory

Locations

36359 Harper Ave
Ste A
Clinton Twp, MI 48035
Phone (586) 792-5770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1265706840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36359 HARPER AVE",
            "address_2": "SUITE A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352958",
            "telephone_number": "586-792-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36359 HARPER AVE",
            "address_2": "SUITE A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352958",
            "telephone_number": "586-792-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DENISON PHD, PC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "DENISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-792-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.