Marc Gennaro Clemente, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35. 047656 Issued in OH

Practice address

575 Copeland Mill Rd
Suite 2C
Westerville, OH 43081-8977

Phone

(614) 899-6167

Fax

(614) 899-6067

NPI assigned

Nov 13, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Mount Carmel Health

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1184646705
  NPD (past)
• Mt. Carmel Behavioral Healthcare Services, Inc.

  • Mental Health Counselor
  • Westerville, OH
  • NPI 1922206192
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1407927445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COPELAND MILL RD",
            "address_2": "SUITE 2C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818977",
            "telephone_number": "614-899-6167",
            "fax_number": "614-899-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COPELAND MILL RD",
            "address_2": "SUITE 2C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818977",
            "telephone_number": "614-899-6167",
            "fax_number": "614-899-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "MARC",
        "middle_name": "GENNARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35. 047656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516730",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Clark
• Todd Mathew Clark, O.D.
• Kimberly Clayton
• Clearview Mental Health Inc
• John Cleghorn, NP
• Nathaniel Clements
• Courtney Cleminshaw-Mahan, PH.D
• Alexsia Cleveland
• Kasey Cliffton, LISW-S
• Allison L Cline, PTA

• All providers in Westerville, OH
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.