Marshal Issoy Kider

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101M0800X Issued in FL

Practice address

1551 Forum PL
Building 400 Suites D&E
West Palm Beach, FL 33401-2319

Phone

(561) 616-8411

Fax

(561) 616-8412

NPI assigned

Dec 9, 2010

Last updated

Dec 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1699078816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 FORUM PL BLDG 400",
            "address_2": "SUITE SUITE D&E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012319",
            "telephone_number": "561-616-8411",
            "fax_number": "561-616-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 FORUM PL",
            "address_2": "BUILDING 400 SUITES D&E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012319",
            "telephone_number": "561-616-8411",
            "fax_number": "561-616-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDER",
        "first_name": "MARSHAL",
        "middle_name": "ISSOY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "101M0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.