Individual provider Active NPI

Marc Swarttz, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1629029137
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016349 Issued in NY
Practice address
280 Madison Ave
Suite 305C
New York, NY 10016-0801
Phone
(646) 262-1280
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016349 NY Primary

Addresses

Primary practice location

280 Madison Ave
Suite 305C
New York, NY 10016-0801

Mailing address

10 Hanover SQ.
#17A
New York, NY 10005-3568
Phone (646) 262-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20051109000057 NY Practitioner - Clinical Psychologist 7315965233 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

280 Madison Ave
305C
New York, NY 10016-0816
Phone (646) 262-1280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016349NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
R.G. Psychological Services, P.C. Clinical PastSince May 14, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC Past Accepting new patients
Senior Life Management, P.L.L.C. Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1629029137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HANOVER SQ.",
            "address_2": "#17A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053568",
            "telephone_number": "646-262-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 305C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "646-262-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTTZ",
        "first_name": "MARC",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.