Mark P Feinsilber, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

896 Issued in GA

Practice address

6030 Bethelview Rd
Suite 401
Cumming, GA 30040-8020

Phone

(770) 205-5760

Fax

(770) 205-5780

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Affiliated Psychological Services, PC Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Psychological Services, PC

  • Psychologist
  • Cumming, GA
  • NPI 1619202918
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346339629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 BETHELVIEW RD",
            "address_2": "SUITE 401",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408020",
            "telephone_number": "770-205-5760",
            "fax_number": "770-205-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 BETHELVIEW RD",
            "address_2": "SUITE 401",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408020",
            "telephone_number": "770-205-5760",
            "fax_number": "770-205-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINSILBER",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D.",
            "identifier": "581832456",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AFFILIATED",
            "last_name": "SERVICES, PC",
            "middle_name": "PSYCHOLOGICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Cumming, GA
• Providers in Cumming, GA by specialty
• Clinical Psychologist in Georgia

• 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.