Marjorie K Dennin, PH.D.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

013925-1 Issued in NY

Practice address

125 Rockefeller Rd
Delmar, NY 12054-2221

Phone

(518) 439-8116

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1396922704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LINTON ST",
            "city": "SELKIRK",
            "state": "NY",
            "postal_code": "121589740",
            "telephone_number": "518-439-6767",
            "fax_number": "518-439-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROCKEFELLER RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542221",
            "telephone_number": "518-439-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIN",
        "first_name": "MARJORIE",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013925-1",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "013925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delmar Dental PC
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• Delmar Volunteer Ambulance Service, Inc.
• Jennifer Denis, FNP
• Xiang Dennison
• Wendy Marie Detwiler, LMSW
• Mary Terese Devoe
• Jack Devore, O.D.
• Lisa Diana, MS.ED.

• Adult Development & Aging Psychologist in Delmar, NY
• Providers in Delmar, NY by specialty
• Adult Development & Aging Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.