Active NPI
David A Marks, PH.D.
- Clinical Neuropsychologist
- Yarmouth, ME
National Provider Identifier
1821150699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS602
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ANTHEM BLUE CROSS | Other | ME | 003257 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Social Worker
- Yarmouth, ME
- NPI 1790716959
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.