Active NPI
Mark Arthur Pinsker, ED.D.
- Clinical Psychologist
- North Chesterfield, VA
National Provider Identifier
1760450282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001720
- Practice address
- 1241 Mall Dr
North Chesterfield, VA 23235-4879 - Phone
- (804) 380-9488
- Fax
- (804) 794-9868
- NPI assigned
- Mar 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001720 | VA | Primary |
Addresses
Primary practice location
1241 Mall Dr
North Chesterfield, VA 23235-4879
Mailing address
1241 Mall Dr
North Chesterfield, VA 23235-4879
Phone (804) 380-9488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07751257 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1760450282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 MALL DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354879",
"telephone_number": "804-380-9488",
"fax_number": "804-794-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 MALL DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354879",
"telephone_number": "804-380-9488",
"fax_number": "804-794-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINSKER",
"first_name": "MARK",
"middle_name": "ARTHUR",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07751257",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Chesterfield, VA
- Elizabeth Pinkerton
- Alayshia R Pinkney, LPC, CAADC, CSAC
- Danielle Jasmine Pinn, LCSW
- Pinnacle Behavioral Health Catarina Monge, PSYD. LLC (Allied Therapeutic Services)
- Pinnacle Treatment Centers VA-I, LLC (FCCR Southlake)
- Pioneer Support Services LLC
- Pleasant View Residential Services
- Sydney Plum
- Jessica E Poe, AUD
- Lynn Ann Polizzi, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.