DR. MARK MCCONVILLE PH.D.
NPI 1659592681
Psychologist - Clinical in Beachwood, OH

Q: What is Mark Mcconville's NPI number?

The NPI number for Mark Mcconville is 1659592681. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Mark Mcconville's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Mark Mcconville enrolled in Medicare?

No. Mark Mcconville has opted out of Medicare through September 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mark Mcconville was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2007Opted out of Medicare · through Sep 21, 2027

21403 CHAGRIN BLVD, SUITE 210, BEACHWOOD, OH 44122(216) 751-1007(216) 751-7112 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Mark Mcconville Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK MCCONVILLE PH.D. (NPI 1659592681) is an individual clinical provider in Beachwood, Ohio, licensed in Ohio (2379) and active in the NPI registry since May 2007. He has opted out of Medicare through September 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659592681

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK MCCONVILLECredential: PH.D.

Location Address21403 CHAGRIN BLVD, SUITE 210Beachwood, OH 44122-5322

Mailing Address2841 Brighton RdShaker Heights, OH 44120-1718 · (216) 283-5346 · Fax (216) 751-7112

Phone(216) 751-1007

Fax(216) 751-7112

Sole ProprietorYes

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659592681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · 2379

Definition

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.

21403 CHAGRIN BLVD, Beachwood, OH 44122

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark Mcconville Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 21, 2015 through September 21, 2027.

Opt-Out Effective DateSeptember 21, 2015

Opt-Out In Effect ThroughSeptember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY E BOLEK PHD

Psychologist

21403 CHAGRIN BLVD
BEACHWOOD, OH 44122

Cuyahoga County (216) 346-5673

MS. CAROL PAULL LISW

Social Worker (Clinical)

21403 CHAGRIN BLVD
BEACHWOOD, OH 44122

Cuyahoga County (216) 991-2707

DR. MARLENE MOSS BLUMENTHAL PH.D.

Psychologist (School)

21403 CHAGRIN BLVD, #210
BEACHWOOD, OH 44122

Cuyahoga County (216) 751-1007

MR. JASON AARON DECKER LPC

Counselor (Mental Health)

21403 CHAGRIN BLVD
BEACHWOOD, OH 44122

Cuyahoga County (216) 800-8524

DAVID GRANOFF PSY.D.

Psychologist (Clinical)

21403 CHAGRIN BLVD, SUITE 210
BEACHWOOD, OH 44122

Cuyahoga County (216) 752-5346

JAMES I KEPNER PHD

Psychologist

21403 CHAGRIN BLVD, STE 210
BEACHWOOD, OH 44122

Cuyahoga County (216) 283-0736

DR. MARY ANN KRAUS PSY.D.

Psychologist

21403 CHAGRIN BLVD, SUITE 210
BEACHWOOD, OH 44122

Cuyahoga County (216) 406-8987

DAVID L. GRANOFF, PSY.D., INC.

Psychologist

21403 CHAGRIN BLVD, SUITE 210
BEACHWOOD, OH 44122

Cuyahoga County (216) 752-5346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Mcconville's NPI number?

The NPI number for Mark Mcconville is 1659592681. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Mark Mcconville located?

Mark Mcconville practices at 21403 Chagrin Blvd Suite 210, Beachwood, OH 44122. The listed phone number is (216) 751-1007.

What is Mark Mcconville's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mark Mcconville enrolled in Medicare?

No. Mark Mcconville has opted out of Medicare through September 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Mcconville was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.