Marc Bruce Lipton, PH.D., M.P.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1184 Issued in MD

Practice address

1777 Reisterstown Rd.
Commerce Center East, Suite 288
Baltimore, MD 21208

Phone

(410) 484-9400

Fax

(410) 484-9401

NPI assigned

Aug 22, 2006

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

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1780790683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD.",
            "address_2": "COMMERCE CENTER EAST, SUITE 288",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-484-9400",
            "fax_number": "410-484-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD.",
            "address_2": "COMMERCE CENTER EAST, SUITE 288",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-484-9400",
            "fax_number": "410-484-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTON",
        "first_name": "MARC",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735400200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Lipsey, M.D.
• Nechama Rivka Lipsky
• Rebekah Lipsky, MS, LCPC
• Evan Jacob Lipson, MD
• Matthew Richard Lipson
• Susan V Lipton, M.D.
• Lisa Crear Carrier LCSW-C, Advanced Grief Recovery Method Specialist
• Lisa H. Kornberg, LLC
• Lisa M. Valentine, D.D.S LLC
• Lisa T Williams PC

• Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.