William Keith Marek, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 14791 Issued in CA

Practice address

105 Reflections Dr
Apt. 18
San Ramon, CA 94583-4709

Phone

(925) 275-0294

Fax

(925) 426-0094

NPI assigned

Feb 27, 2008

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 CA

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1851560544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REFLECTIONS DR",
            "address_2": "APT. 18",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834709",
            "telephone_number": "925-275-0294",
            "fax_number": "925-426-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 REFLECTIONS DR",
            "address_2": "APT. 18",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834709",
            "telephone_number": "925-275-0294",
            "fax_number": "925-426-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREK",
        "first_name": "WILLIAM",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 14791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Manuchehry, M,D,
• Yashaswi Manukonda
• Amee Saurin Mapara-Shah, M.D.
• Benedict John Marciano, MD
• Joseph Yusaf Mardanzai, MD
• Seneca Mariano, D.D.S.
• Marie Star Home Health Services LLC (Aims Healthcare)
• Mariel Muriel Pastrana MD Inc
• Mark Lollar, M.D. Inc (Mark Lollar, M.D.)
• Courtney Markovich, MS, OTR/L

• Psychologist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.