Active NPI
Michael A Marquez, PSY.D.
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1699327221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 06304
- Practice address
- 156 N Lakewood Ave
Baltimore, MD 21224-1143 - Phone
- (443) 478-3453
- NPI assigned
- Jul 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Mental Health Counselor | 101YM0800X | 06304 | MD | Primary |
Addresses
Primary practice location
156 N Lakewood Ave
Baltimore, MD 21224-1143
Mailing address
156 N Lakewood Ave
Baltimore, MD 21224-1143
Phone (443) 478-3453
Other practice location 1
846 W 36th St Ste 2
Baltimore, MD 21211-2561
Phone (443) 478-3453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06304 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1699327221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 N LAKEWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212241143",
"telephone_number": "443-478-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 N LAKEWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212241143",
"telephone_number": "443-478-3453"
}
],
"practiceLocations": [
{
"address_1": "846 W 36th St Ste 2",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212112561",
"country_code": "US",
"telephone_number": "443-478-3453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARQUEZ",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-13",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "06304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.