Organization Active NPI

Mark H. Barnett, PH.D., P.a.

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1801094008
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2992 Issued in FL
Legal business name
MARK H. BARNETT, PH.D., P.A.
Practice address
4362 Northlake Blvd
Suite 200
Palm Beach Gardens, FL 33410-6275
Phone
(561) 624-7941
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Mark H. Barnett, PH.D.NPI 1629277538
Title
President
Phone
(561) 624-7941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY2992 FL Primary

Addresses

Primary practice location

4362 Northlake Blvd
Suite 200
Palm Beach Gardens, FL 33410-6275

Mailing address

4362 Northlake Blvd
Suite 200
Palm Beach Gardens, FL 33410-6275
Phone (561) 624-7941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060222000674 FL Part B Supplier - Clinic/Group Practice 4880600212 Receives reassigned benefits from 1 practitioner
Practice locations: N Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

4362 Northlake Blvd
Ste 205
Palm Beach Gardens, FL 33410
Phone (561) 624-7941

Practitioners & affiliated clinicians

Practitioners 2

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": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1801094008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-624-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-624-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. BARNETT, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-7941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.