Individual provider Active NPI

Mark H Barnett, PH.D

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1629277538
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2992 Issued in FL
Practice address
4362 Northlake Blvd
Suite 200
Palm Beach Gardens, FL 33410-6275
Phone
(561) 624-7941
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 PY2992 FL Primary

Addresses

Primary practice location

4362 Northlake Blvd
Suite 200
Palm Beach Gardens, FL 33410-6275

Mailing address

4362 Northlake Blvd
Ste 205
Palm Beach Gardens, FL 33410-6270
Phone (561) 624-7941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060223000119 FL Practitioner - Clinical Psychologist 4789690116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N Palm Beach, FL 33408
Phone (561) 246-1260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY2992FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark H. Barnett, PH.D., P.a. Clinical CurrentSince Aug 9, 2005 Accepting new patients

Locations

4362 Northlake Blvd
Ste 205
Palm Beach Gardens, FL 33410
Phone (561) 624-7941

4362 Northlake Blvd
Ste 200
West Palm Bch, FL 33410
Phone (561) 624-7941

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1629277538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "STE 205",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106270",
            "telephone_number": "561-624-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-624-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.