Individual provider Active NPI

Markle Hurtt, MARCO

  • Health Service Psychologist
  • Terre Haute, IN
National Provider Identifier
1396470902
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
872594569 Issued in IN
Practice address
6 McKinley Blvd Apt 1E
Terre Haute, IN 47803-1665
Phone
(812) 262-4400
NPI assigned
Jul 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 872594569 IN Primary

Addresses

Primary practice location

6 McKinley Blvd Apt 1E
Terre Haute, IN 47803-1665

Mailing address

6 McKinley Blvd Apt 1E
Terre Haute, IN 47803-1665
Phone (812) 262-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
872594569INMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1396470902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MCKINLEY BLVD APT 1E",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031665",
            "telephone_number": "812-262-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MCKINLEY BLVD APT 1E",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031665",
            "telephone_number": "812-262-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTT",
        "first_name": "MARKLE",
        "credential": "MARCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "872594569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.