Organization Active NPI

Mark P. Carney Psy.D. Inc

  • Counseling Psychologist
  • Wilmington, DE
National Provider Identifier
1679753578
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
B1-0000662 Issued in DE
Legal business name
MARK P. CARNEY PSY.D. INC
Practice address
1601 Concord Pike
Suite#50
Wilmington, DE 19803-3612
Phone
(302) 425-4417
Fax
(302) 425-0194
NPI assigned
Nov 7, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mr. Mark Patrick Carney, PSY. D.NPI 1356340459
Title
Director
Phone
(302) 425-4417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X B1-0000662 DE Primary

Addresses

Primary practice location

1601 Concord Pike
Suite#50
Wilmington, DE 19803-3612

Mailing address

1601 Concord Pike
Suite#50
Wilmington, DE 19803-3612
Phone (302) 425-4417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131022000995 DE Part B Supplier - Clinic/Group Practice 4486889771 Receives reassigned benefits from 1 practitioner
Practice locations: Hockessin, DE

National Provider Directory

National Provider Directory

Locations

614 Loveville Rd
Ste F1A
Hockessin, DE 19707
Phone (302) 234-4480

1601 Concord Pike
Ste 50
Wilmington, DE 19803
Phone (302) 425-4417

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1679753578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CONCORD PIKE",
            "address_2": "SUITE#50",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033612",
            "telephone_number": "302-425-4417",
            "fax_number": "302-425-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CONCORD PIKE",
            "address_2": "SUITE#50",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033612",
            "telephone_number": "302-425-4417",
            "fax_number": "302-425-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P. CARNEY PSY.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-425-4417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "B1-0000662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.