Active NPIIndividual provider

Mark J Gorman, PHD

Psychologist, Counseling in Weymouth, Massachusetts

NPI Number1174725998
Practice location
51 Performance Dr., Weymouth, MA 02189
Fax
—
Last updated
June 5, 2018

Mark J. Gorman is a Psychologist, Counseling based in Weymouth, MA. Mark J. Gorman practices in Weymouth, MA and has the professional credentials of PHD. The NPI Number for Mark J. Gorman is 1174725998 and holds a License No. 8811 (MA). The current practice location address for Mark J. Gorman is 51 Performance Dr., Weymouth, MA 02189 and can be reached out via phone at 787-624-4242.

Provider Profile Details

NPI Number
1174725998
Provider Name
Mark J. Gorman
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
51 Performance Dr., Weymouth, MA 02189
Phone Number
787-624-4242
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2007
Last Update Date
June 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Performance Dr.
Weymouth, MA 02189
Zip
02189
Phone Number
787-624-4242
Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
Massachusetts General Hospital
55 Fruit Street
Boston, MA 02114
City
Boston
State
MA
Zip
02114
Phone Number
617-726-4400

License Information

License Number (1)
8811
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (3)
8811
License State (3)
MA
Taxonomy (3)
Psychologist, Counseling · 103TC1900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark J Gorman, PHD?

The NPI number of Mark J Gorman, PHD is 1174725998. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Mark J Gorman, PHD?

Mark J Gorman, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in MA under license number 8811.

Where does Mark J Gorman, PHD practice?

The practice location is 51 Performance Dr., Weymouth, MA 02189. The office can be reached at 787-624-4242 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174725998 directly on the NPPES registry website.

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