Mark Gerhard Eberhage, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1814 Issued in WI

Practice address

1532 E Belleview PL
Milwaukee, WI 53211-3956

Phone

(414) 220-9990

Fax

(414) 221-0001

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

Yes

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 WI

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Solutions IncGroup PAC ID 8820983760, 8 clinicians

BCS Care Solutions, LLCGroup PAC ID 4284982166, 11 clinicians

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.

• Behavioral Solutions, Inc.

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1174633119
  Medicare reassignment Care Compare group Authorized official
• BCS Care Solutions, LLC

  • Psychologist
  • Waukesha, WI
  • NPI 1215426382
  Medicare reassignment Care Compare group NPD
• Mark Eberhage, PHD LLC

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1992650378
  NPD Authorized official

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1477544526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 E BELLEVIEW PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113956",
            "telephone_number": "414-220-9990",
            "fax_number": "414-221-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 E BELLEVIEW PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113956",
            "telephone_number": "414-220-9990",
            "fax_number": "414-221-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHAGE",
        "first_name": "MARK",
        "middle_name": "GERHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39107700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefflyn Eaton, R.N.
• Myrtle Faye Eaton, PTA
• Kendra Eaves, MS
• Ebb Tide Therapy
• Margaret A Ebbott, RDH
• David G Eberle, PHARMD
• Rachel Eberle
• Hannah Kristine Ebert, MD
• Thomas Ebert, MD
• Hailey Judith Ebling

• Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.