NPIMap

Organization Active NPI

Mark Besen PHD Psychological Services PLLC

  • Clinical Social Worker
  • Morehead City, NC
National Provider Identifier
1740754795
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARK BESEN PHD PSYCHOLOGICAL SERVICES PLLC
Practice address
1104 Arendell St
Morehead City, NC 28557-4144
Phone
(252) 207-0545
NPI assigned
Jan 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Authorized official

Name
Jennifer Reynolds
Title
Practice Administrator
Phone
(252) 269-1937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1104 Arendell St
Morehead City, NC 28557-4144

Mailing address

PO Box 422
Morehead City, NC 28557-0422

National Provider Directory

National Provider Directory

Locations

209 N 35th St
Ste A2
Morehead City, NC 28557
Phone (252) 207-0545

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547337600000",
    "number": "1740754795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574144",
            "telephone_number": "252-207-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BESEN PHD PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-01-13",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-269-1937"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; 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.