DR. MARK G FANGER ED.D. NPI 1730159146

NPI Information

  • NPI: 1730159146
  • Provider Name: DR. MARK G FANGER, ED.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 73 ROUNDWOOD RD
    NEWTON UPPER FALLS, MA
    ZIP 02464
  • Phone: (617) 969-4040

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NPI Details

DR. Mark G Fanger, ED.D. is a clinical psychologist in Newton Upper Falls, MA. 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. DR. Mark G Fanger, ED.D. NPI is 1730159146. 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:

73 ROUNDWOOD RD
NEWTON UPPER FALLS, MA
ZIP 02464-218
Phone: (617) 969-4040
Fax: (617) 795-2065

The enumeration date for this NPI number is 1/26/2006 and was last updated on 6/29/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)2215MASSACHUSETTSNo
3103TA0700XPsychologistAdult Development & Aging2215MASSACHUSETTSNo
4103TB0200XPsychologistCognitive & Behavioral2215MASSACHUSETTSNo
5103T00000XPsychologist2215MASSACHUSETTSNo
6103TP2701XPsychologistGroup Psychotherapy2215MASSACHUSETTSNo
7106H00000XMarriage & Family Therapist2215MASSACHUSETTSNo
8103TC0700XPsychologistClinical2215MASSACHUSETTSYes

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: 11/21/2025

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