Active NPIIndividual providerSole proprietor

Charles B Mark, PSYD

Psychologist, Clinical in Oldwick, New Jersey

NPI Number1689767600
Practice location
48 Old Turnpike RD, Oldwick, NJ 08858
Fax
908-439-2343
Last updated
July 8, 2007

Charles B Mark is a Psychologist, Clinical based in Oldwick, NJ. Charles B Mark practices in Oldwick, NJ and has the professional credentials of PSYD. The NPI Number for Charles B Mark is 1689767600 and holds a License No. 1712 (NJ). The current practice location address for Charles B Mark is 48 Old Turnpike RD, Oldwick, NJ 08858 and can be reached out via phone at 908-439-3456 and via fax at 908-439-2343.

Provider Profile Details

NPI Number
1689767600
Provider Name
Charles B Mark
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
48 Old Turnpike RD, Oldwick, NJ 08858
Phone Number
908-439-3456
Fax Number
908-439-2343
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Old Turnpike RD
Oldwick, NJ 08858
Zip
08858
Phone Number
908-439-3456
Fax Number
908-439-2343
Oldwick, NJ 08858Get directions →

Provider Business Mailing Address Details

Address
Po Box 242
Oldwick, NJ 08858-0242
City
Oldwick
State
NJ
Zip
08858-0242
Phone Number
908-439-3456
Fax Number
908-439-2343

License Information

License Number (1)
1712
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
PS-004600-L
License State (2)
PA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

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 Charles B Mark, PSYD?

The NPI number of Charles B Mark, PSYD is 1689767600. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Charles B Mark, PSYD?

Charles B Mark, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 1712.

Where does Charles B Mark, PSYD practice?

The practice location is 48 Old Turnpike RD, Oldwick, NJ 08858. The office can be reached at 908-439-3456 (phone) or 908-439-2343 (fax).

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 1689767600 directly on the NPPES registry website.

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