Mark A Edinberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

748 Issued in CT

Practice address

145 Marne Ave
Fairfield, CT 06825-1752

Phone

(203) 254-8372

Fax

(203) 335-5497

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Amy a Payson Edd CS Aprn BC LLC

  • Professional Counselor
  • Fairfield, CT
  • NPI 1821273525
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1750374625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MARNE AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251752",
            "telephone_number": "203-335-5497",
            "fax_number": "203-335-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MARNE AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251752",
            "telephone_number": "203-254-8372",
            "fax_number": "203-335-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINBERG",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4100484",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Dzubaty, PA-C
• Kathleen Early, MA, LPC, NCC
• Eben-Ezer Delivery & Transportation LLC
• Ana Patricia Echeverri, M.D.
• Rachel Edelman, CRNA
• Valentine Edusa, MD, FACOG
• Edward Staub MD PC
• Heather Edwards, OT
• Kelsey Eidam, OTR/L
• Laurie J Eidt, PT

• Clinical Psychologist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.