Mark Hugh Allen, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11665 Issued in CA

Practice address

4153 1St Ave
San Diego, CA 92103-2047

Phone

(619) 685-2736

Fax

(619) 298-7267

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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.

• Daniel Blaess, PH.D., Psychologist, Inc.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1225162274

  Clinical

  NPD (past)
• John B. Mansdorfer, PH.D.

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1669698908

  Clinical

  NPD (past)
• William R. Meeker, M.D., a Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1295950293
  NPD (past)

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2008.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1922042886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032047",
            "telephone_number": "619-685-2736",
            "fax_number": "619-298-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032047",
            "telephone_number": "619-685-2736",
            "fax_number": "619-298-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MARK",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY116650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Allen, RPH
• Kimberly Allen
• Ladawn Allen, RPT
• Launa K Allen, PTN
• Lauryl Lee Allen
• Mary Leta Allen
• Matthew Allen
• Mike Allen
• Natalie Allen, RBT
• Peter Allen

• All providers in San Diego, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.