Individual provider Active NPI

Sean Martin Markey, ED.D.

  • Clinical Psychologist
  • Watertown, MA
National Provider Identifier
1699078295
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9282 Issued in MA
Practice address
124 Watertown St Ste 2D
Watertown, MA 02472
Phone
(176) 916-5069
Fax
(617) 467-4073
NPI assigned
Dec 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 9282 MA
Clinical Psychologist 103TC0700X 9282 MA Primary

Addresses

Primary practice location

124 Watertown St Ste 2D
Watertown, MA 02472

Mailing address

124 Watertown St
Watertown, MA 02472-2576
Phone (508) 838-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180801002786 MA Practitioner - Clinical Psychologist 2961750302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Square Medical Group LLCGroup PAC ID 6608991187, 16 clinicians

Practice addresses (Care Compare)

884 Washington St
FL1 Weymouth Primary Care and Counseling
Weymouth, MA 02189-1527
Phone (781) 812-1643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9282MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Square Medical Group LLC CurrentSince Jul 18, 2018 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

124 Watertown St
Ste 2D
Watertown, MA 02472
Phone 6179165069208

884 Washington St
Fl 2
Weymouth, MA 02189
Phone (617) 447-2146

884 Washington St
Fl 1
Weymouth, MA 02189
Phone (781) 812-1643

Organizations & group practices 2

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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1699078295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722576",
            "telephone_number": "508-838-2282",
            "fax_number": "508-838-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERTOWN ST STE 2D",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "176-916-5069",
            "fax_number": "617-467-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEY",
        "first_name": "SEAN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "9282",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.