Debra A. Marks, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002705 Issued in VA

Practice address

1007 1St St SW
Roanoke, VA 24016-4401

Phone

(540) 342-2592

Fax

(540) 572-4690

NPI assigned

Sep 21, 2006

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Avery E Kerr Dmin LPC LLC

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1366265357
  NPD (past)
• Onstead Counseling Services LLC

  • Clinical Social Worker
  • Danville, VA
  • NPI 1588231419
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1356440184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 1ST ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164401",
            "telephone_number": "540-342-2592",
            "fax_number": "540-572-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 1ST ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164401",
            "telephone_number": "540-342-2592",
            "fax_number": "540-572-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "DEBRA",
        "middle_name": "A.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-10-23",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001103996",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "317538",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomas Mariano, PHD
• Olga Lucia Marin-Hoefner, M.D.
• Kayla Mariner
• Mark Bogert
• Rebekah Markham, LCSW
• Michelle Tomlin Marks, F.N.P.
• Aaron James Markwith, MEDICAL STUDENT
• Nicole Rose Marletta, RN, FNP-BC
• Patricia Lynch Marlowe, LCSW
• Susan Elizabeth Marney, ED.D,LPC,LMFT

• Clinical Psychologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.