Active NPI
Henry Markman, M.D.
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1588916332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G50642
- Practice address
- 2435 Russell St
Berkeley, CA 94705-2080 - Phone
- (510) 841-3411
- NPI assigned
- Oct 3, 2012
- Last updated
- Oct 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G50642 | CA | Primary |
Addresses
Primary practice location
2435 Russell St
Berkeley, CA 94705-2080
Mailing address
2435 Russell St
Berkeley, CA 94705-2080
Phone (510) 841-3411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 1, 2019 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50642 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1588916332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 RUSSELL ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052080",
"telephone_number": "510-841-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 RUSSELL ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052080",
"telephone_number": "510-841-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKMAN",
"first_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-03",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G50642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
- Marjan Rusta DDS Inc
- Mark a Fujikawa & Stephen R Chun PTR (The Berkeley Optometric Group)
- Mark and Barbara Sullivan Psychotherapy Inc
- Melissa A. Mark, CRNP
- Jennine Marie Markiewicz, LMFT
- Jess Maron
- Kirsten Marony
- Marquee Eyecare Center of Berkeley Inc (Site For Sore Eyes # 503)
- Landon Fern Marriott
- Darcy Lynn Marrison, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.