Mark Imbrie, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006329L Issued in PA

Practice address

204 E Harford Street
Milford, PA 18337

Phone

(570) 296-2145

NPI assigned

Apr 16, 2007

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 NJ, PA2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• The Helping Door, Inc.

  • Mental Health Counselor
  • Milford, PA
  • NPI 1871920538
  NPD (past)
• Psychological Associates,LLC

  • Clinical Psychologist
  • Newton, NJ
  • NPI 1225189673
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659596377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1281",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "18337",
            "telephone_number": "570-296-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E HARFORD STREET",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "18337",
            "telephone_number": "570-296-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBRIE",
        "first_name": "MARK",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006329L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Hargreaves, PT
• Thomas J Hartey, DC
• Elisabeth Christina Heij, MSW,LSW
• Frances Hlavacek, LCSW
• Zachary P Horowitz
• Amy Lynn Jayne, OTR/L
• Thomas P Jeffers, DC CCSP
• Laurie Jones
• Justin Joseph, DDS
• Kelsie Elizabeth Judd, NP

• Psychologist in Milford, PA
• Providers in Milford, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.