Individual provider Active NPI

Mark A Guido, PH.D.

  • Psychologist
  • Goshen, NY
National Provider Identifier
1467484451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9869 Issued in NY
Practice address
19 Hill St
Goshen, NY 10924-2113
Phone
(845) 294-9139
Fax
(845) 294-9139
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9869 NY Primary

Addresses

Primary practice location

19 Hill St
Goshen, NY 10924-2113

Mailing address

19 Hill St
Goshen, NY 10924-2113
Phone (845) 294-9139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000182 NY Practitioner - Clinical Psychologist 8224130232 Practice locations: Goshen, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19 Hill St
Goshen, NY 10924-2113
Phone (845) 294-9139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9869NYMDPsychologist
009869NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia R Griffin PHD Psychologist Past Accepting new patients
Michele Winchester-Vega LCSW PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467484451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HILL ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242113",
            "telephone_number": "845-294-9139",
            "fax_number": "845-294-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HILL ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242113",
            "telephone_number": "845-294-9139",
            "fax_number": "845-294-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDO",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "9869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.