Marshall Katzman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

4601 State St
East Saint Louis, IL 62205-1359

Phone

(618) 482-6420

Fax

(618) 274-6437

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Mental Health Center of St. Clair County, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Belleville, IL
  • NPI 1912176900
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306853676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052146",
            "telephone_number": "618-482-7330",
            "fax_number": "618-274-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051359",
            "telephone_number": "618-482-6420",
            "fax_number": "618-274-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZMAN",
        "first_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283462048",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Jenkins
• Alfred Johnson, MD
• Christopher Vaughan Johnson, MD
• Sreekanth Kanagarla, D.D.S.
• Kirsten Karkow, DDS, MS
• Sarah A Kehl, MSW/LCSW
• Timothy J Kelly, MA, LCPC
• Kenneth Hall Regional Hospital
• Kenneth Hall Regional Hospital, Inc.
• Destiny D. Kharsi, LCSW

• Psychiatry Physician in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.