Active NPI
Marcus Tavell Heath Sr.
- Health Service Psychologist
- Suitland, MD
National Provider Identifier
1891496147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Practice address
- 3603 Silver Park Dr Apt 303
Suitland, MD 20746-2928 - Phone
- (202) 705-2169
- NPI assigned
- Mar 14, 2023
- 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 Service Psychologist | 103TH0100X | Primary |
Addresses
Primary practice location
3603 Silver Park Dr Apt 303
Suitland, MD 20746-2928
Mailing address
3603 Silver Park Dr Apt 303
Suitland, MD 20746-2928
Phone (202) 705-2169
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1891496147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 SILVER PARK DR APT 303",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207462928",
"telephone_number": "202-705-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 SILVER PARK DR APT 303",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207462928",
"telephone_number": "202-705-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "MARCUS",
"middle_name": "TAVELL",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suitland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.