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MR. MARK STEWART SIMPSON PSYD LADAC NPI 1518952662


NPI Information

NPI: 1518952662
Provider Name: MR. MARK STEWART SIMPSON, PSYD, LADAC
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8506
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MR. Mark Stewart Simpson, PSYD, LADAC is a clinical psychologist in Fort Defiance, AZ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MR. Mark Stewart Simpson, PSYD, LADAC NPI is 1518952662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC
FORT DEFIANCE, AZ
ZIP 86504-649
Phone: (928) 729-8506
Fax: (928) 729-8502

The NPI 1518952662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 1/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)0081081NEW MEXICONo
2103TC0700XPsychologistClinical0930NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.