MARK R. LARSON (NPI# 1124088208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124088208 |
Entity Type | Individual |
Full Name | MARK R. LARSON |
Credential | PH.D. |
Practice Address |
130 Allens Creek Rd Rochester NY 14618-3305 |
Practice Telephone | 5854735810 |
Practice Fax Number | 5854735193 |
Mailing Telephone | 5854735810 |
Mailing Fax Number | 5854735193 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
013650 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | AETNA | 7043329 | 01 |
NY | WORKER'S COMPENSATION | S13650-7W | 01 |
NY | PREFERRED CARE | 106063FC | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538524905 | Mark Larson | Dentist | 5441 Saint Marys Cir, Westminster, CA 92683-3416 | 2015-12-29 |
1265876056 | Mark Wayne Larson | Massage Therapist | 10093 Sunny Ln, Ooltewah, TN 37363-8487 | 2013-04-23 |
1821310285 | Mark Larson | Pharmacist | 10 Westwood Cir, Minnetonka, MN 55305-1588 | 2010-02-25 |
1770644767 | Mark Duane Larson | Plastic Surgery | 755 N 11th St Ste P1000, Beaumont, TX 77702-1528 | 2006-12-13 |
1376553503 | Mark Douglas Larson | Counselor | 605 East Boulevard, Methodist Counseling & Consultation Services, Charlotte, NC 28203-5111 | 2006-08-09 |
1669452678 | Mark P Larson | Dentist | 278 Star Hill Dr, Cape Carteret, NC 28584-8933 | 2006-01-18 |
1831651868 | Mark Daniel Larson | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2019-03-31 |
1942789318 | Mark Larson | Nurse Practitioner | 2373 Augusta Hwy, Lexington, SC 29072-2213 | 2018-08-07 |
1497973416 | Mark Thomas Larson | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2007-04-23 |
1194784090 | Mark W Larson | Specialist | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2006-03-20 |
Street Address |
130 ALLENS CREEK RD |
City | ROCHESTER |
State | NY |
Zip Code | 14618-3305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942751128 | Briannon Oconnor | Psychologist | 130 Allens Creek Rd, Suite 230, Rochester, NY 14618-3305 | 2016-10-21 |
1649663303 | Suzanne Sefton-silver Psychology Ph.d. PC | Psychologist | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2015-03-05 |
1922340751 | Aaron B Trimble | Anesthesiology | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2013-03-19 |
1952654378 | Suzanne Marie Sefton-silver | Psychologist | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2012-10-23 |
1053677435 | Timothy Tenren Fung | Anesthesiology | 130 Allens Creek Rd, Rochester, NY 14618 | 2012-04-10 |
1306114939 | Kristie Lynne Jewitt | Marriage & Family Therapist | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2011-12-10 |
1639450943 | Christina M Mccann Phd Psychologist Pllc | Psychologist | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2011-08-31 |
1134454903 | Mary Elizabeth Spagnola-marsh | Psychologist | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2009-10-12 |
1720293640 | Barbara Hicks Shapiro | Counselor | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2007-05-14 |
1396839163 | Amber Irene Keshishian | Psychologist | 130 Allens Creek Rd, Rochester, NY 14618-3305 | 2006-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
Find all providers in zip 14618 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
Find all providers in ROCHESTER |
Please comment or provide details below to improve the information on MARK R. LARSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.