Individual provider Active NPI

Mark Christopher Fleming, PH.D.

  • Counseling Psychologist
  • Tempe, AZ
National Provider Identifier
1316925100
Registry record updated Dec 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
B1-0000704 Issued in DE
Practice address
950 W Elliot Rd
Suite 220
Tempe, AZ 85284-1144
Phone
(410) 441-0105
Fax
(314) 919-9668
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X B1-0000704 DE Primary

Addresses

Primary practice location

950 W Elliot Rd
Suite 220
Tempe, AZ 85284-1144

Mailing address

PO Box 6358
Chandler, AZ 85246-6358
Phone (410) 441-0105

Other identifiers 2

IdentifierTypeStateIssuer
1000038968MedicaidDE
213021OtherDECOMPSYCH CORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B1-0000704DEMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1316925100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6358",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466358",
            "telephone_number": "410-441-0105",
            "fax_number": "314-919-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W ELLIOT RD",
            "address_2": "SUITE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841144",
            "telephone_number": "410-441-0105",
            "fax_number": "314-919-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "B1-0000704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038968",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH CORPORATION",
            "identifier": "213021",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; 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.