Individual provider Active NPI

Mark Joseph Schlickman, M.D.

  • Psychiatry Physician
  • Lutz, FL
National Provider Identifier
1972542157
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME167615 Issued in FL
Practice address
21808 State Road 54
Lutz, FL 33549-6923
Phone
(866) 762-1743
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME167615 FL Primary
Psychiatry Physician 2084P0800X 70610 MA

Addresses

Primary practice location

21808 State Road 54
Lutz, FL 33549-6923

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3562

Other practice location 2

23 Fruit St
Worcester, MA 01609-2126
Phone (508) 831-7745 ext. 201

Other identifiers 1

IdentifierTypeStateIssuer
3073815MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mark.SchlickmanMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Associates LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060320000490 MA Practitioner - Psychiatry 0941217715 Reassigns benefits to 1 organization
Practice locations: Worcester, MA
I20240422002816 FL Practitioner - Psychiatry 0941217715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Massachusetts Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 281-9065

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (727) 532-1355

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

601 Main St
Dunedin, FL 34698-5848
Phone (727) 281-9065

6600 Madison St
New Port Richey, FL 34652-1971
Phone (727) 532-1355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME167615FLMDPsychiatry Physician
70610MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Apr 12, 2024 Accepting new patients
Umass Memorial Medical Group Inc Psychiatry Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Apr 12, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 4, 2025 Accepting new patients
Apogee Integrated Mental Health Services, Inc. Psychiatry Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

4918 N Habana Ave
Tampa, FL 33614
Phone (727) 710-0900

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: mark.schlickmanmd@direct.mybaycare.org
  • Direct secure messaging: apogee@ppdxdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1972542157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21808 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496923",
            "telephone_number": "866-762-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016092126",
            "country_code": "US",
            "telephone_number": "508-831-7745 x201",
            "fax_number": "508-797-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLICKMAN",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME167615",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "70610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073815",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mark.SchlickmanMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Associates LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21808 State Road 54",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335496923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.