Individual provider Active NPI

Karlin S Marks, PH.D., LP

  • Psychologist
  • Ashland, WI
National Provider Identifier
1801251897
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3266-57 Issued in WI
Practice address
1635 Maple LN
Ashland, WI 54806
Phone
(715) 685-5400
Fax
(715) 685-5102
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3266-57 WI Primary

Addresses

Primary practice location

1635 Maple LN
Ashland, WI 54806

Mailing address

1635 Maple LN
Ashland, WI 54806-3610
Phone (715) 685-5400

Other practice location 1

514 Main St W
Ashland, WI 54806-1512
Phone (715) 682-7171

Other identifiers 1

IdentifierTypeStateIssuer
100057241MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712001958 WI Practitioner - Clinical Psychologist 2567797558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as group
Quality
74.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center Inc CurrentSince May 13, 2019 Accepting new patients
Memorial Medical Center Inc CurrentSince May 13, 2019 Accepting new patients

Locations

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

1635 Maple Ln
Ashland, WI 54806
Phone (715) 685-5400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1801251897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 MAPLE LN",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063610",
            "telephone_number": "715-685-5400",
            "fax_number": "715-685-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MAPLE LN",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-685-5400",
            "fax_number": "715-685-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Main St W",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548061512",
            "country_code": "US",
            "telephone_number": "715-682-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "KARLIN",
        "middle_name": "S",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3266-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100057241",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

Verify at the official NPI Registry.