Michael Marks PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MICHAEL MARKS PSYD, LLC

Practice address

20747 Sterlington Dr
Land O Lakes, FL 34638-4317

Phone

(813) 344-5235

Fax

(813) 430-2174

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Michael Marks, PSYDNPI 1124808985

Title

Managing Member

Phone

(813) 344-5235

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Marks, PSY.D.

  • Clinical Psychologist
  • Land O Lakes, FL
  • NPI 1124808985
  NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1316712680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "813-344-5235",
            "fax_number": "813-430-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "813-344-5235",
            "fax_number": "813-430-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MARKS PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-344-5235",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige L Merchant
• Autumn Meriwether, MSW
• Samantha Lopez Meshula, PT
• John Jeffrey Metz, D.M.D., M.S.
• Michael a Craven DC PA
• Christine Middleton, CNS, LDN, MS
• Taylor Alaine Mihocik, LCSW
• Jeffrey Miley, PHARM.D.
• Carlton Miller
• Emily Kaitlin Miller

• Clinical Psychologist in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.