Individual provider Active NPI

David Marchman, MED

  • School Psychologist
  • Clyde, OH
National Provider Identifier
1922418326
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
BG1018981 Issued in OH
Practice address
106 S Main St
Clyde, OH 43410-1633
Phone
(419) 547-0588
Fax
(419) 547-0909
NPI assigned
May 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X BG1018981 OH Primary

Addresses

Primary practice location

106 S Main St
Clyde, OH 43410-1633

Mailing address

106 S Main St
Clyde, OH 43410-1633
Phone (419) 547-0588

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BG1018981OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clyde-Green Springs Exempted Village School District 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.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1922418326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101633",
            "telephone_number": "419-547-0588",
            "fax_number": "419-547-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101633",
            "telephone_number": "419-547-0588",
            "fax_number": "419-547-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHMAN",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "BG1018981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.