Healthcare Provider Details

I. General information

NPI: 1437209459
Provider Name (Legal Business Name): JOHN E MARKEY PSYD CADC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 N MAIN ST SUITE 1C
DOYLESTOWN PA
18901-3733
US

IV. Provider business mailing address

80 N MAIN ST SUITE 1C
DOYLESTOWN PA
18901-3733
US

V. Phone/Fax

Practice location:
  • Phone: 215-348-2757
  • Fax: 215-348-4125
Mailing address:
  • Phone: 215-348-2757
  • Fax: 215-348-4125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number934
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS016988
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: