Mark S. Closson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019356 Issued in NY

Practice address

601 Franklin Ave Ste 200
Garden City, NY 11530-5760

Phone

(516) 669-0135

Fax

(631) 754-1642

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Developmental Psychology

  • Psychologist
  • Hauppauge, NY
  • NPI 1336673318
  NPD (past) Authorized official

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1841577004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 200",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-669-0135",
            "fax_number": "631-754-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 200",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-669-0135",
            "fax_number": "631-754-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSSON",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Medical of Upper East Side, PLLC (Summit Health)
• Charisse Civil
• Jennifer Clarke
• Margaret Clifton
• Aubrie Mae Clingaman, M.S. CF-SLP
• Nancy Ann Cocopardo, P.T.
• Angela Coen, LMSW
• Cohen Fashion Optical LLC
• Cohen Fashion Optical, LLC (Cohen's Fashion Optical)
• Alan R. Cohen, OD

• Clinical Psychologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.

Verify at the official NPI Registry.