Active NPI
Mark Howard Waugh, PH.D.
- Psychologist
- Oak Ridge, TN
National Provider Identifier
1891870085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1094
- Practice address
- 100 High Point LN
Oak Ridge, TN 37830-7955 - Phone
- (865) 481-0180
- Fax
- (865) 483-4166
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 1094 | TN | |
| Clinical Psychologist | 103TC0700X | 1094 | TN | |
| Forensic Psychologist | 103TF0200X | 1094 | TN | |
| Psychologist | 103T00000X | 1094 | TN | Primary |
Addresses
Primary practice location
100 High Point LN
Oak Ridge, TN 37830-7955
Mailing address
100 High Point LN
Oak Ridge, TN 37830-7955
Phone (865) 481-0180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79549 | Other | TN | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark H. Waugh, PHD, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Ridge, TN
- NPI 1659770428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891870085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGH POINT LN",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307955",
"telephone_number": "865-481-0180",
"fax_number": "865-483-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGH POINT LN",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307955",
"telephone_number": "865-481-0180",
"fax_number": "865-483-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUGH",
"first_name": "MARK",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "1094",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "1094",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "TN",
"license": "1094",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "1094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "79549",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.