Mark Frederick Carpenter, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011772 Issued in MI

Practice address

1042 N Milford Rd
Suite 206
Milford, MI 48381-5107

Phone

(248) 887-6710

Fax

(248) 887-6830

NPI assigned

Aug 31, 2006

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Carpenter Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Milford, MI
  • NPI 1497911895
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1447362173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N MILFORD RD",
            "address_2": "SUITE 206",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815107",
            "telephone_number": "248-887-6710",
            "fax_number": "248-887-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 N MILFORD RD",
            "address_2": "SUITE 206",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815107",
            "telephone_number": "248-887-6710",
            "fax_number": "248-887-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MARK",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Burney III, PTA
• Elizabeth D Campbell, LMFT
• Carolyn Capozzo
• Heather Ann Carnaghi, RN-IBCLC
• Carpenter Counseling Center PLLC
• Andrew Cassidy, PT
• Catching Sunrise LLC
• Timothy Michael Cavanaugh, RPH
• Louis C Chiara, MD
• Rashna Chinoy, RPH

• Psychologist in Milford, MI
• Providers in Milford, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.