Individual provider Active NPI

Marc A. Cecil, PH.D.

  • Clinical Psychologist
  • Rutland, VT
National Provider Identifier
1831151687
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048-0000414 Issued in VT
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

Updated by the provider on Jul 17, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
048-0000414VTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc a. Cecil, PH.D., P.C. CurrentSince Oct 25, 1993 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

Sources for this page

Verify at the official NPI Registry.