Active NPIIndividual providerSole proprietor

Dr. Marc L Copersino, PHD

Psychologist, Clinical in Belmont, Massachusetts

NPI Number1578727517
Practice location
115 Mill St, Mail Stop #103, Belmont, MA 02478-1064
Fax
—
Last updated
January 6, 2015

Marc Louis Copersino is a Psychologist, Clinical based in Belmont, MA. Marc Louis Copersino practices in Belmont, MA and has the professional credentials of PHD. The NPI Number for Marc Louis Copersino is 1578727517 and holds a License No. PS01066 (RI). The current practice location address for Marc Louis Copersino is 115 Mill St, Mail Stop #103, Belmont, MA 02478-1064 and can be reached out via phone at 617-855-2853.

Provider Profile Details

NPI Number
1578727517
Provider Name
Marc Louis Copersino
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
115 Mill St, Mail Stop #103, Belmont, MA 02478-1064
Phone Number
617-855-2853
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2008
Last Update Date
January 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Mail Stop #103
Belmont, MA 02478-1064
Zip
02478-1064
Phone Number
617-855-2853
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
31 Sycamore Dr
Westwood, MA 02090-3228
City
Westwood
State
MA
Zip
02090-3228
Phone Number
781-762-7850

License Information

License Number (1)
PS01066
License State (1)
RI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
04030
License State (2)
MD
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
016314
License State (3)
NY
Taxonomy (3)
Psychologist, Clinical · 103TC0700X
License Number (4)
8977
License State (4)
MA
Taxonomy (4)
Psychologist, Clinical · 103TC0700X · 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 Dr. Marc L Copersino, PHD?

The NPI number of Dr. Marc L Copersino, PHD is 1578727517. It was assigned on July 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Marc L Copersino, PHD?

Dr. Marc L Copersino, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS01066.

Where does Dr. Marc L Copersino, PHD practice?

The practice location is 115 Mill St, Mail Stop #103, Belmont, MA 02478-1064. The office can be reached at 617-855-2853 (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 1578727517 directly on the NPPES registry website.

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