Individual provider Active NPI

Mark Vogel, PH.D.

  • Clinical Psychologist
  • Norwich, NY
National Provider Identifier
1346250503
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006122-1 Issued in NY
Practice address
60 Midland Dr
Norwich, NY 13815-1947
Phone
(607) 336-9914
Fax
(607) 334-4881
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 006122-1 NY Primary

Addresses

Primary practice location

60 Midland Dr
Norwich, NY 13815-1947

Mailing address

PO Box 948
Norwich, NY 13815-3948
Phone (607) 336-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040121000730 NY Practitioner - Clinical Psychologist 7416859400 Receives reassigned benefits from 5 practitioners
Practice locations: Norwich, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

60 Midland Dr
Norwich, NY 13815-1947
Phone (607) 336-9914

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006122-1NYMDOccupational Therapist
006122NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
R.G. Psychological Services, P.C. Clinical Past Accepting new patients
Mark P. Vogel, PH.D and Associates Clinical PastSince Feb 2, 2018 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 5

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

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1346250503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138153948",
            "telephone_number": "607-336-9914",
            "fax_number": "607-334-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MIDLAND DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151947",
            "telephone_number": "607-336-9914",
            "fax_number": "607-334-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.