Active NPI
Marc A. Cecil, PH.D.
- Clinical Psychologist
- Rutland, VT
National Provider Identifier
1831151687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048-0000414
- Practice address
- 65 N Main St
Rutland, VT 05701-3252 - Phone
- (802) 773-3616
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 Psychologist | 103TC0700X | 048-0000414 | VT | Primary |
Addresses
Primary practice location
65 N Main St
Rutland, VT 05701-3252
Mailing address
65 N Main St
Rutland, VT 05701-3252
Phone (802) 773-3616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- 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 |
|---|---|---|---|---|
| I20060327000522 | VT | Practitioner - Clinical Psychologist | 5890703284 |
Reassigns benefits to 1 organization Practice locations: Rutland, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
65 N Main St
Suite 9
Rutland, VT 05701-3252
Phone (802) 773-3616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048-0000414 | VT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc a. Cecil, PH.D., P.C. | Current | Accepting new patients |
Locations
65 N Main St
Ste 9
Rutland, VT 05701
Phone (802) 773-3616
65 N Main St
Rutland, VT 05701
Phone (802) 773-2184
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": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1831151687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N MAIN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057013252",
"telephone_number": "802-773-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N MAIN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057013252",
"telephone_number": "802-773-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECIL",
"first_name": "MARC",
"middle_name": "A.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048-0000414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
- Casey Bela Francoeur- Schug Dba C. Bela Schug, Ma, Lcmhc, PLC
- Valerie Cassidy, RN
- John Michael Caswell, RPH
- Kathleen Faulkner Cater, M.S. CCC-SLP
- Erin Farrell Cavalieri, PT
- Center for Communication Cognition and Swallowing LLP
- Center for Integrative Medicine
- Center for Integrative Medicine,PLLC
- Central Vermont Eye Care, P.C.
- Christopher Chadwick, MS, LADC, AFC, CASAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.