Individual provider Active NPI

Doyle Thomas Marrs, PH.D., LP

  • Psychologist
  • College Station, TX
National Provider Identifier
1598322950
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33609 Issued in TX
Practice address
707 Texas Ave S Ste 206a
College Station, TX 77840-1975
Phone
(979) 777-5463
NPI assigned
May 21, 2019
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33609 TX Primary

Addresses

Primary practice location

707 Texas Ave S Ste 206a
College Station, TX 77840-1975

Mailing address

4502 Ashley Stone CT
College Sta, TX 77845-1905
Phone (979) 777-5463

Other names 1

  • Dr. Tom Marrs Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33609TXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1598322950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 ASHLEY STONE CT",
            "city": "COLLEGE STA",
            "state": "TX",
            "postal_code": "778451905",
            "telephone_number": "979-777-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 TEXAS AVE S STE 206A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401975",
            "telephone_number": "979-777-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRS",
        "first_name": "DOYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "MARRS",
            "prefix": "DR.",
            "credential": "PH.D., LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.