Frederick Joseph Marshall III, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301002904 Issued in MI

Practice address

27796 Westcott Crescent Cir
Farmington Hills, MI 48334-5352

Phone

(248) 872-5477

Fax

(248) 477-5773

NPI assigned

Jan 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Psychological Institutes of Michigan, P.C.

  • Clinical Psychologist
  • Bloomfield TWP, MI
  • NPI 1609111350
  Medicare reassignment NPD
• Psychological Institutes of Michigan, P.C.

  • Clinical Psychologist
  • Bloomfield TWP, MI
  • NPI 1447300694
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1467502161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27796 WESTCOTT CRESCENT CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345352",
            "telephone_number": "248-872-5477",
            "fax_number": "248-477-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27796 WESTCOTT CRESCENT CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345352",
            "telephone_number": "248-872-5477",
            "fax_number": "248-477-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "FREDERICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "68OF37073",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Marshall
• Brandy Marshall
• Breanna Marshall
• Briyanna Marshall
• Bryston Marshall
• Gerald Bruce Marshall
• Hannah Marshall
• India Marshall
• Jalona Marshall
• Jasmine Marshall

• Clinical Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.