Individual provider Active NPI

Mark David Hatton, PH.D., M.ED., M.PHIL

  • Clinical Psychologist
  • Ridgewood, NJ
National Provider Identifier
1831237510
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100297000 Issued in NJ
Practice address
300 Franklin Tpke
Ridgewood, NJ 07450-1932
Phone
(201) 638-6203
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100297000 NJ
Addiction (Substance Use Disorder) Psychologist 103TA0400X 35S100297000 NJ
Counseling Psychologist 103TC1900X 35S100297000 NJ
Clinical Psychologist 103TC0700X 35S100297000 NJ Primary

Addresses

Primary practice location

300 Franklin Tpke
Ridgewood, NJ 07450-1932

Mailing address

280 Beaumont Dr
Oxford, PA 19363-1366
Phone (201) 638-6203

Other practice location 1

280 Beaumont Dr
Oxford, PA 19363-1366
Phone (201) 638-6203

Other identifiers 3

IdentifierTypeStateIssuer
5578302MedicaidNJ
PS020054OtherPAPA PSYCHOLOGIST LICENSE
35SI00297000OtherNJNJ PSYCHOLOGIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100297000NJMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1831237510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BEAUMONT DR",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631366",
            "telephone_number": "201-638-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANKLIN TPKE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501932",
            "telephone_number": "201-638-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Beaumont Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "PA",
            "postal_code": "193631366",
            "country_code": "US",
            "telephone_number": "201-638-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTON",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.ED., M.PHIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100297000",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "35S100297000",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35S100297000",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100297000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5578302",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA PSYCHOLOGIST LICENSE",
            "identifier": "PS020054",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PSYCHOLOGIST LICENSE",
            "identifier": "35SI00297000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.