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

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.

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

LicenseStateTypeSpecialty
5287OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oordt Therapeutic Services, Inc Current
since May 29, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Hanscom Afb, MA · Clinical Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.