Individual provider Active NPI

David A Marks, PH.D.

  • Clinical Neuropsychologist
  • Yarmouth, ME
National Provider Identifier
1821150699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS602 Issued in ME
Practice address
500 Route 1 Ste 26
Yarmouth, ME 04096-4712
Phone
(207) 846-3023
Fax
(207) 846-3028
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS602 ME Primary

Addresses

Primary practice location

500 Route 1 Ste 26
Yarmouth, ME 04096-4712

Mailing address

500 Route 1 Ste 26
Yarmouth, ME 04096-4712
Phone (207) 846-3023

Other identifiers 1

IdentifierTypeStateIssuer
ANTHEM BLUE CROSSOtherME003257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20070626000443 ME Practitioner - Clinical Psychologist 8426157801 Practice locations: Yarmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Baylor College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

251 Main St
Yarmouth, ME 04096-4705
Phone (207) 747-5528

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew C Curtin PA Past Accepting new patients

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821150699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROUTE 1 STE 26",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964712",
            "telephone_number": "207-846-3023",
            "fax_number": "207-846-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 1 STE 26",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964712",
            "telephone_number": "207-846-3023",
            "fax_number": "207-846-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ME",
            "license": "PS602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "003257",
            "identifier": "ANTHEM BLUE CROSS",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.