Individual provider Active NPI

Marina B Lung, M.A.

  • Clinical Psychologist
  • Toledo, OH
National Provider Identifier
1811970791
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2692 Issued in OH
Practice address
6800 W Central Ave
#D-2
Toledo, OH 43617-1135
Phone
(419) 841-2298
Fax
(419) 841-7245
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2692 OH Primary

Addresses

Primary practice location

6800 W Central Ave
#D-2
Toledo, OH 43617-1135

Mailing address

6800 W Central Ave
#D-2
Toledo, OH 43617-1135
Phone (419) 841-2298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120329000360 OH Practitioner - Clinical Psychologist 4385804301 Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6800 W Central Ave
Toledo, OH 43617-1157
Phone (419) 841-2298

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thera Med LLC. Clinical PastSince Nov 15, 2018 Accepting new patients
Comprehensive Counseling and Recovery, LLC PastSince Mar 28, 2021 Accepting new patients

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1811970791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 W CENTRAL AVE",
            "address_2": "#D-2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171135",
            "telephone_number": "419-841-2298",
            "fax_number": "419-841-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 W CENTRAL AVE",
            "address_2": "#D-2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171135",
            "telephone_number": "419-841-2298",
            "fax_number": "419-841-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "MARINA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.