Active NPI
Nancy M. Marx, PH.D.
- Psychologist
- San Mateo, CA
National Provider Identifier
1700835923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY17090
- Practice address
- 155 Bovet Rd
Suite 404
San Mateo, CA 94402-3108 - Phone
- (650) 562-1904
- Fax
- (650) 508-0353
- NPI assigned
- May 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY17090 | CA | Primary |
Addresses
Primary practice location
155 Bovet Rd
Suite 404
San Mateo, CA 94402-3108
Mailing address
155 Bovet Rd
Suite 404
San Mateo, CA 94402-3108
Phone (650) 562-1904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 28, 2016 through Feb 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17090 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700835923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 BOVET RD",
"address_2": "SUITE 404",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023108",
"telephone_number": "650-562-1904",
"fax_number": "650-508-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 BOVET RD",
"address_2": "SUITE 404",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023108",
"telephone_number": "650-562-1904",
"fax_number": "650-508-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "NANCY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY17090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.