Loretta N Markus

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3907-57 Issued in WI

Practice address

4321 W College Ave Ste 200
Appleton, WI 54914-3968

Phone

(920) 916-0730

NPI assigned

May 28, 2013

Last updated

Jan 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1427495829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 W COLLEGE AVE STE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143968",
            "telephone_number": "920-716-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 W COLLEGE AVE STE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143968",
            "telephone_number": "920-916-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKUS",
        "first_name": "LORETTA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3907-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionisio James Mariano, MD
• Samuel Markert
• Kelsey Lynn Markham, MS, LPC
• Mary Elizabeth Markman, MA, LPC
• James M Markovich, D.C.
• Jennifer L Markvart, LCSW
• Russell Marmor
• Mark R Marnocha, PHD
• Patricia A Marohl, COTA
• Shannon Lori Marohl

• Psychologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.