Mark H. Waugh, PHD, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

P1094 Issued in TN

Legal business name

MARK H. WAUGH, PHD, PC

Practice address

100 High Point LN
Oak Ridge, TN 37830-7955

Phone

(865) 481-0180

Fax

(865) 483-4166

NPI assigned

Aug 18, 2014

Last updated

Aug 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark H. Waugh, PHDNPI 1891870085

Title

President

Phone

(865) 481-0180

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Howard Waugh, PH.D.

  • Psychologist
  • Oak Ridge, TN
  • NPI 1891870085
  NPD (past) Authorized official

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1659770428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH POINT LN",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307955",
            "telephone_number": "865-481-0180",
            "fax_number": "865-483-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH POINT LN",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307955",
            "telephone_number": "865-481-0180",
            "fax_number": "865-483-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. WAUGH, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-481-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "P1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Manuel, DO
• David Henry Marcotte, LCSW
• Sheila A Marczak, M.M.F.T
• Elizabeth H. Margle
• Aathi Lakshmi Mariappan
• Paula Jane Marshall, D.PH.
• Charles J. Mascioli, M.D.
• Tia Mashburn
• Christopher D Maull, MD
• Allee Chaslyn Maxwell, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.