Andrea Gayle Marcus, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10366 Issued in CA

Practice address

10436 Santa Monica Blvd
Suite #3050
Los Angeles, CA 90025-6933

Phone

(310) 285-3729

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pine Psychological Services a Professional Corporation

  • Clinical Psychologist
  • Beverly Hills, CA
  • NPI 1689840126
  Medicare reassignment NPD
• Couch Psychiatry

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1376258921
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740204288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD",
            "address_2": "SUITE #3050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD",
            "address_2": "SUITE #3050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256933",
            "telephone_number": "310-285-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "ANDREA",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcos Lemor, MD a Medical Corporation
• Marcos S Canas Medical Corporation
• Maria Marcos
• Florin Marcu, RRT
• Alexis Jesse Marcus, LCSW
• Carol Silber Marcus, PH.D., M.D.
• Donald H. Marcus, MD
• Elizabeth Anne Marcus, MD
• Gillian Marcus, LMFT
• Jeffrey David Marcus, R.PH.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.