Individual provider Active NPI

John Mark Carper, ED.D.

  • Clinical Psychologist
  • Winthrop, MA
National Provider Identifier
1730220039
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3856 Issued in MA
Practice address
115 Summit Ave
No. 3
Winthrop, MA 02152-1087
Phone
(617) 846-5383
Fax
(617) 846-1650
NPI assigned
Feb 9, 2007
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3856 MA
Clinical Psychologist 103TC0700X 3856 MA Primary

Addresses

Primary practice location

115 Summit Ave
No. 3
Winthrop, MA 02152-1087

Mailing address

115 Summit Ave
No. 3
Winthrop, MA 02152-1087
Phone (617) 846-5383

Other identifiers 2

IdentifierTypeStateIssuer
0516678MedicaidMA
3856OtherMALIC.. (PSYCHOL.PROVIDER)

Other names 1

  • Dr. J Mark Carper Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3856MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nemg Hingham PastSince Mar 1, 2022 Accepting new patients
Integrated Psych Services, PLLC PastSince Aug 1, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1730220039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUMMIT AVE",
            "address_2": "NO. 3",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521087",
            "telephone_number": "617-846-5383",
            "fax_number": "617-846-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUMMIT AVE",
            "address_2": "NO. 3",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521087",
            "telephone_number": "617-846-5383",
            "fax_number": "617-846-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPER",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "3856",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516678",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC.. (PSYCHOL.PROVIDER)",
            "identifier": "3856",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J MARK",
            "last_name": "CARPER",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.