Mark Eric Hessenthaler, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C154875 Issued in CA

Practice address

300 W Hospital Rd
Ddeamc, Behavior Health, 13TH Floor
Fort Gordon, GA 30905-5741

Phone

(706) 829-3172

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

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.

• LGTC Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1881482941

  CA, Psychiatry

  Medicare reassignment Care Compare group NPD
• Mindful Health Solutions a Professional Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881894483

  CA, Psychiatry

  Medicare reassignment NPD
• Intown Atlanta Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1861841744
  NPD (past)
• Los Gatos Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1518600972
  NPD (past)
• WK Medical Group

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1588083992

  Psychiatry

  NPD (past)

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

LGTC Group 22 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2019.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1487776506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POST ST",
            "address_2": "STE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084908",
            "telephone_number": "415-671-6819",
            "fax_number": "415-539-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "address_2": "DDEAMC, BEHAVIOR HEALTH, 13TH FLOOR",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-829-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSENTHALER",
        "first_name": "MARK",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C154875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamikio Kwan Henderson, LPN
• Robert William Herold, DDS
• Benjamin Herrera, M.D.
• Christopher A Herring
• Susan Ann Herrington, R.N.
• Brandon Hester, LCSW
• Dan Morgan Hester, CRNA
• Thomas Daniel Hewett, O.T.A.
• Pamela Ann Hiener, PA
• Deidres Higgins, P.A.

• All providers in Fort Gordon, GA
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.