Active NPI
Marc Aaron Patience, PHD
- Health Psychologist
- JB Andrews, MD
National Provider Identifier
1861780371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- 2045
- Practice address
- 1060 W Perimeter Rd
JB Andrews, MD 20762-6602 - Phone
- (240) 612-2462
- NPI assigned
- Jul 18, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Health Psychologist | 103TH0004X | 2045 | AL | Primary |
Addresses
Primary practice location
1060 W Perimeter Rd
JB Andrews, MD 20762-6602
Mailing address
Malcolm Grow Medical Clinics and Surgery Center
1060 W Perimeter Rd
Joint Base Andrews, MD 20762
Phone (240) 857-7186
Other practice location 1
4345 Curtiss Rd
Suite 100
Barksdale AFB, LA 71110
Phone (318) 456-6600
Other practice location 2
Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop, Bldg. 4554, 59
MDW/GME, JBSA Lackland, TX 78236-9908
Phone (210) 292-5972
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1861780371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MALCOLM GROW MEDICAL CLINICS AND SURGERY CENTER",
"address_2": "1060 W PERIMETER RD",
"city": "JOINT BASE ANDREWS",
"state": "MD",
"postal_code": "20762",
"telephone_number": "240-857-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 W PERIMETER RD",
"city": "JB ANDREWS",
"state": "MD",
"postal_code": "207626602",
"telephone_number": "240-612-2462"
}
],
"practiceLocations": [
{
"address_1": "4345 Curtiss Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Barksdale AFB",
"state": "LA",
"postal_code": "71110",
"country_code": "US",
"telephone_number": "318-456-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Wilford Hall Ambulatory Surgical Center",
"address_2": "1100 Wilford Hall Loop, Bldg. 4554, 59",
"address_purpose": "LOCATION",
"city": "MDW/GME, JBSA Lackland",
"state": "TX",
"postal_code": "782369908",
"country_code": "US",
"telephone_number": "210-292-5972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATIENCE",
"first_name": "MARC",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-18",
"last_updated": "2024-01-26",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "AL",
"license": "2045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in JB Andrews, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.