Perry M Marchioni, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23560 Issued in TX

Practice address

1705 W Illinois
Midland, TX 79701

Phone

(432) 684-4540

Fax

(432) 685-0809

NPI assigned

Sep 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1710080833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W ILLINOIS",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-684-4540",
            "fax_number": "432-685-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W ILLINOIS",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-684-4540",
            "fax_number": "432-685-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHIONI",
        "first_name": "PERRY",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033438501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc, Inc.
• Marc, Inc.
• Marc, Inc.
• Marc, Inc.
• Marc, Inc.
• Mario M Gross, MD, PA
• Mark Luley DO
• Sarai Avila Marks, DNP, APRN, FNP-BC
• Susie Marquez, MS,LPC-S
• Trinidad R Marquez, APRN, FNP-C

• Psychologist in Midland, TX
• Providers in Midland, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.