Glenn R Marks, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3558 Issued in AZ

Practice address

4750 N Camino Luz
Tucson, AZ 85718-5819

Phone

(520) 299-4806

Fax

(520) 323-3739

NPI assigned

Sep 30, 2005

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Damian Parkinson MD

  • Child & Adolescent Psychiatry Physician
  • Tucson, AZ
  • NPI 1992945455
  NPD (past)
• J. Michael Morgan, PH.D., P.C.

  • Clinical Psychologist
  • Tucson, AZ
  • NPI 1629461421
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1447247960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N TUCSON BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164745",
            "telephone_number": "520-299-4806",
            "fax_number": "520-323-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N CAMINO LUZ",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185819",
            "telephone_number": "520-299-4806",
            "fax_number": "520-323-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "GLENN",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3558",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Katharine White Markley, LPC
• Arlene Marko, AU.D.
• Susan Dale Markovich, R.N., M.S.N.
• Ernie Eugene Markowitz, SA-C
• Ilana L. Markowitz, LCSW
• Jo-Ann Marks, MA, LMFT
• Jordan Marks, MFT
• Lauren Nicole Marks
• Michael William Marks, PH.D.
• Sheldon HF Marks, M.D.

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.