Corinne M Mar, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002354 Issued in WA

Practice address

10740 Meridian Ave N Ste 110
Seattle, WA 98133-9010

Phone

(206) 660-1214

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1285771717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 MERIDIAN AVE N STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339010",
            "telephone_number": "206-660-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 MERIDIAN AVE N STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339010",
            "telephone_number": "206-660-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "CORINNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Nicole Maples, LAC.
• Sara Beth Maples, CRNA
• Crystal Mappala, LMP
• Jordan Mapu
• Alexander Norman Mar, MPH, MN, ARNP, FNP-C
• David Fay Mar, M.D.
• Eric Yang Mar, MD
• Haydon J. Mar, DDS
• Joyce A Mar, RPH
• Leighton Weldon Mar

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.