Mark Stephen Oordt, PH.D.
Individual provider Active NPI Clinical Psychologist · Hanscom Afb, MA
NPI 1508833583 · NPPES record last updated Jul 11, 2021
Key facts
- NPI
- 1508833583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5287 (OH)
- Practice address
- 90 Vandenberg Dr
Hanscom Afb, MA 01731-2104 - Phone
- (781) 225-8284
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5287 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oordt Therapeutic Services, Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5287 | OH | Yes |
Addresses
Primary practice location
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Mailing address
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Phone (781) 225-6252
Other practice location 1
204 Shady Oaks Dr
Boerne, TX 78006-7704
Phone (210) 954-6806
Other providers in Hanscom Afb, MA
- Lakshmi Kona
- Julie L Martin
- Heather Kristen Mazzaccaro
- Jessica Lynn Nick
- Matthew Robert Nicoli
- Timothy Joseph Pappalardo
- Jonathan Paul Pazienza
- Sokunthea Peou
- Stacey Peters
- Thuc Tran Van Pham
All providers in Hanscom Afb, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.