Mark P Carney, PSY.D.
Individual provider Active NPI Clinical Psychologist · Hockessin, DE
NPI 1356340459 · NPPES record last updated Jun 10, 2019
Key facts
- NPI
- 1356340459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- B1- 0000662 (DE)
- Practice address
- 614 Loveville Rd Ste F1A
Hockessin, DE 19707-1623 - Phone
- (302) 235-1860
- Fax
- (302) 425-0194
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
614 Loveville Rd
F1A
Hockessin, DE 19707-1623
Phone (302) 234-4480
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040716000866 | DE | Practitioner - Clinical Psychologist | 5799675989 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1- 0000662 | DE | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark P. Carney Psy.D. Inc | Current |
Accepting new patients | |
| The Lorelton Foundation | Past | Accepting new patients | |
| The Behavioral Wellness Center at Girard | Past | Accepting new patients | |
| Delaware Post Acute Medical Services 1 | Past |
Accepting new patients |
Locations
614 Loveville Rd
Ste F1A
Hockessin, DE 19707
Phone (302) 234-4480
1601 Concord Pike
Ste 50
Wilmington, DE 19803
Phone (302) 425-4417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | B1- 0000662 | DE | Yes |
Addresses
Primary practice location
614 Loveville Rd Ste F1A
Hockessin, DE 19707-1623
Mailing address
1601 Concord Pike
Suite 50
Wilmington, DE 19803-3612
Phone (302) 425-4417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PROV000082241 | Medicaid | DE |
Other providers in Hockessin, DE
- Evelyn Bruggeman
- Daniel Joseph Burke Jr.
- Rosemary Calvert
- Danielle Lynn Cannon
- Jennifer Aline Carbone
- Katie Irene Carpenter
- Kaitlyn Carunchio
- Katherine Castellon
- Emily Castro-Silvestre
- Susan Elaine Catalan
All providers in Hockessin, DE · Clinical Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.