Organization Active NPI

Mark S Schwartz PHD Endeavors

  • Clinical Psychologist
  • Jacksonville, FL
National Provider Identifier
1457585044
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4052 Issued in FL
Legal business name
MARK S SCHWARTZ PHD ENDEAVORS
Practice address
4600 Touchton Rd E
BLDG 100, Suite 150
Jacksonville, FL 32246-8299
Phone
(904) 910-4122
NPI assigned
May 11, 2009
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Mark S Schwartz, PH.D.NPI 1538139092
Title
Ceo
Phone
(904) 910-4122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY4052 FL Primary

Addresses

Primary practice location

4600 Touchton Rd E
BLDG 100, Suite 150
Jacksonville, FL 32246-8299

Mailing address

4600 Touchton Rd E
BLDG 100, Suite 150
Jacksonville, FL 32246-8299
Phone (904) 910-4122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1457585044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 TOUCHTON RD E",
            "address_2": "BLDG 100, SUITE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468299",
            "telephone_number": "904-910-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 TOUCHTON RD E",
            "address_2": "BLDG 100, SUITE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468299",
            "telephone_number": "904-910-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S SCHWARTZ PHD ENDEAVORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-910-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.