Active NPI
John Mark Carper, ED.D.
- Clinical Psychologist
- Winthrop, MA
National Provider Identifier
1730220039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3856
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0516678 | Medicaid | MA | |
| 3856 | Other | MA | LIC.. (PSYCHOL.PROVIDER) |
Other names 1
- Dr. J Mark Carper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.67 of 100
- Quality
- 71.18
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3856 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nemg Hingham | Past | Accepting new patients | |
| Integrated Psych Services, PLLC | Past | 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.
-
dba Copley Healthcare
- Psychiatry Physician
- Shrewsbury, MA
- NPI 1841883873
-
- Adult Mental Health Clinic/Center
- Norwell, MA
- NPI 1194472498
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.