Active NPI
Donald Roderick Marks, PSYD
- Health Psychologist
- Wilmington, DE
National Provider Identifier
1851646475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PS017170
- Practice address
- 1601 Kirkwood Highway
Wilmington, DE 19805 - Phone
- (215) 534-0398
- NPI assigned
- Jul 19, 2012
- 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 |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | PS017170 | PA | Primary |
Addresses
Primary practice location
1601 Kirkwood Highway
Wilmington, DE 19805
Mailing address
2115 Stackhouse Dr
Yardley, PA 19067-1839
Phone (215) 534-0398
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017170 | PA | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1851646475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 STACKHOUSE DR",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190671839",
"telephone_number": "215-534-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 KIRKWOOD HIGHWAY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19805",
"telephone_number": "215-534-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "DONALD",
"middle_name": "RODERICK",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "PA",
"license": "PS017170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.