Mark Richardson Todd, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2756 Issued in MD

Practice address

106 Milford Street
Suite 104
Salisbury, MD 21804-6966

Phone

(410) 543-8291

Fax

(410) 341-6275

NPI assigned

Mar 18, 2009

Last updated

Mar 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Atlantic Psychological Practice, P.a.

  • Clinical Child & Adolescent Psychologist
  • Salisbury, MD
  • NPI 1689722019
  Authorized official Same address or phone
• Atlantic Psychological Practice, P.a.

  • Clinical Child & Adolescent Psychologist
  • Salisbury, MD
  • NPI 1821031543
  NPD (past) Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1881835023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD STREET",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046966",
            "telephone_number": "410-543-8291",
            "fax_number": "410-341-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD STREET",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046966",
            "telephone_number": "410-543-8291",
            "fax_number": "410-341-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "MARK",
        "middle_name": "RICHARDSON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "2756",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2756",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "2756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64221800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher William Tingle, PTA
• Stacey Tipton, FNP
• Muneshwar Devendra Tiwari, M.D.
• Jill Lee Toadvine, PT
• James Cecil Todd III, MD
• William C Todd, MD
• Assen Todorov Todorov, M.D.
• Mario Todorov Todorov, M.D.
• Toller Enterprises LLC
• Denise Theresa Tomey, M.S.CCC/SLP

• Clinical Child & Adolescent Psychologist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Clinical Child & Adolescent Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.