Mark Geoffry Finn, PHD06
Individual provider Active NPI Clinical Psychologist · Chappaqua, NY
NPI 1902973159 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902973159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 009130-1 (NY)
- Practice address
- 19 Brevoort Rd
Chappaqua, NY 10514-3504 - Phone
- (914) 997-0732
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Nov 11, 2015 through Nov 11, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009130 | NY | MD | Mental Health Counselor |
| 009130-1 | NY | MD | Clinical Psychologist |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 009130-1 | NY | Yes |
Addresses
Primary practice location
19 Brevoort Rd
Chappaqua, NY 10514-3504
Mailing address
19 Brevoort Rd.
Chappaqua, NY 10514-3504
Other providers in Chappaqua, NY
- Barry Steven Erner
- Lydia M Evans
- Kathy Sue Feld-Berkowitz
- Ileana Ferrer
- Jordan Elisabeth Fierek
- Marta P Flaum
- Flexi Rehabilitation LLC
- Meredeth Flores
- Foresight Eye Care Optometry LLC
- Latoya Karen Forrest
All providers in Chappaqua, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.