Michael J Marshall, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

716 Issued in WV

Practice address

1025 Main St
Suite 507, Mull Center
Wheeling, WV 26003-2726

Phone

(304) 233-4600

Fax

(304) 232-0719

NPI assigned

Dec 7, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356400170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WALNUT AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035726",
            "telephone_number": "304-233-4600",
            "fax_number": "304-232-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAIN ST",
            "address_2": "SUITE 507, MULL CENTER",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032726",
            "telephone_number": "304-233-4600",
            "fax_number": "304-232-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165048001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shae Marling
• Michael J Maroney, M.D.
• Oliver Marra, PA-C
• Anthony Scott Marshall, D.O.
• Celeste Marshall
• Sheridan Marshall
• Joelle Marie Martaus
• Amy L Martin
• Crystal G Martin
• John Martin

• Clinical Psychologist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Clinical Psychologist in West Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.