Individual provider Active NPI

Mark N. Gaskill, PH.D.

  • Clinical Psychologist
  • Wilmington, NC
National Provider Identifier
1326076829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
NC1948 Issued in NC
Practice address
2450 Delaney Rd
Wilmington, NC 28403-6062
Phone
(910) 763-9512
Fax
(910) 763-6339
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NC1948 NC Primary

Addresses

Primary practice location

2450 Delaney Rd
Wilmington, NC 28403-6062

Mailing address

2450 Delaney Rd
Wilmington, NC 28403-6062
Phone (910) 763-9512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120324000024 NC Practitioner - Clinical Psychologist 2062672397 Reassigns benefits to 1 organization
Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of New Mexico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cape Fear Psychological and Psychiatric ServicesGroup PAC ID 9335190917, 4 clinicians

Practice addresses (Care Compare)

1121 Medical Ctr Dr
Wilmington, NC 28401-7304
Phone (910) 763-8134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NC1948NCMDClinical Psychologist
1948NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Psychological & Psychiatric Services CurrentSince Jun 1, 2022 Accepting new patients

Locations

1121 Medical Center Dr
Wilmington, NC 28401
Phone (910) 444-8871

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326076829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036062",
            "telephone_number": "910-763-9512",
            "fax_number": "910-763-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036062",
            "telephone_number": "910-763-9512",
            "fax_number": "910-763-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKILL",
        "first_name": "MARK",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "NC1948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.