Robert K Marshall, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

71-2524 Issued in IL

Practice address

9631 W 153Rd St
Suite 38
Orland Park, IL 60462-3774

Phone

(847) 533-3806

Fax

(312) 777-7747

NPI assigned

Jul 4, 2006

Last updated

Dec 18, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

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, 1978

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert K Marshall, LLC

  • Adult Mental Health Clinic/Center
  • Orland Park, IL
  • NPI 1033583851
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1528098373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 CLINTON AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041110",
            "telephone_number": "847-533-3806",
            "fax_number": "312-777-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 W 153RD ST",
            "address_2": "SUITE 38",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623774",
            "telephone_number": "847-533-3806",
            "fax_number": "312-777-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71-2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariposa Psychological Services PLLC
• Robyn B Markham, LCPC
• Robert S Markus, MD
• Dawn A Marnell, FNP-C
• Silvio Marra, MD
• Robert Q Marshall, DDS
• Roseann Martarano, LCSW
• Martie Ryan Lukanich Psy D PC
• Amanda Martin, OTR/L
• Charles Franklin Martin I, MD, FACEP

• Clinical Psychologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.