Active NPI
Paul Marcille, PH.D.
- Clinical Psychologist
- Los Gatos, CA
National Provider Identifier
1285169045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- . PSY 21936
- Practice address
- 700 W Parr Ave
Suite 700
Los Gatos, CA 95032-1442 - Phone
- (408) 438-8300
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | . PSY 21936 | CA | Primary |
Addresses
Primary practice location
700 W Parr Ave
Suite 700
Los Gatos, CA 95032-1442
Mailing address
700 W Parr Ave
Suite 700
Los Gatos, CA 95032-1442
Phone (408) 438-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2021 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| . PSY 21936 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1285169045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W PARR AVE",
"address_2": "SUITE 700",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321442",
"telephone_number": "408-438-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W PARR AVE",
"address_2": "SUITE 700",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321442",
"telephone_number": "408-438-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCILLE",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": ". PSY 21936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
- Domenico J. Manzone, MD
- Nadia Marangao de Melo Brasil, DPT
- Ralph Maravilla, DPT, CSCS
- Marc M. Zare, M.D., a Medical Corporation
- Pamela Christine Marchese, PT, DPT
- Joshua Lynn Marcus, DC
- Michael Thomas Margolis, M.D.
- Marianne Nielsen Chiropractic Neurology Inc.
- Camille Mariano, PT, DPT
- Olivia Marie Marik-Reis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.