Physician Compare National (NPI:1447317227)

HEALTHCARE PROVIDER: RICHARD RENE MARCIL JR. PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1447317227
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032190954
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141014000029
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARCIL
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	716 N FERNCREEK AVE
	Group Practice or individual's line 1 address
City	ORLANDO
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	328034125
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4078948507
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y