Individual provider Active NPI

Vincent Marziano, PH.D.

  • Forensic Psychologist
  • Des Moines, IA
National Provider Identifier
1417342643
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
001269 Issued in IA
Practice address
2130 Grand Ave
Suite #1
Des Moines, IA 50312-5365
Phone
(515) 650-9247
NPI assigned
Apr 3, 2015
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 001269 IA Primary
Health Service Psychologist 103TH0100X 000622 IA

Addresses

Primary practice location

2130 Grand Ave
Suite #1
Des Moines, IA 50312-5365

Mailing address

2130 Grand Ave
Suite #1
Des Moines, IA 50312-5365

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001269IAMDMental Health Counselor
000622IAMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1417342643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE",
            "address_2": "SUITE #1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE",
            "address_2": "SUITE #1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125365",
            "telephone_number": "515-650-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZIANO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "IA",
            "license": "001269",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "000622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.