DR. MARK G FANGER ED.D.
NPI 1730159146
Psychologist - Clinical in Newton Upper Falls, MA

Q: What is Mark Fanger's NPI number?

The NPI number for Mark Fanger is 1730159146. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Mark Fanger's specialty?

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

Q: Is Mark Fanger enrolled in Medicare?

No. Mark Fanger has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mark Fanger was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 26, 2006Opted out of Medicare · through Jan 1, 2028

73 ROUNDWOOD RD, NEWTON UPPER FALLS, MA 02464(617) 969-4040(617) 795-2065 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark G Fanger Ed.d. NPPES

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

DR. MARK G FANGER ED.D. (NPI 1730159146) is an individual clinical provider in Newton Upper Falls, Massachusetts, licensed in Massachusetts (2215) and active in the NPI registry since January 2006. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1730159146

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK G FANGERCredential: ED.D.

Location Address73 ROUNDWOOD RDNewton Upper Falls, MA 02464-1218

Mailing Address73 Roundwood RdNewton, MA 02464-1218 · (617) 969-4040 · Fax (617) 795-2065

Phone(617) 969-4040

Fax(617) 795-2065

Sole ProprietorYes

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJune 29, 2009

✔ NPI 1730159146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 2215

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.

Also ListedPsychologistTaxonomy 103T00000X · License 2215 (MA)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 2215 (MA)

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 2215 (MA)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2215 (MA)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 2215 (MA)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 2215 (MA)

73 ROUNDWOOD RD, Newton Upper Falls, MA 02464

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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 G Fanger Ed.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 January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Fanger's NPI number?

The NPI number for Mark Fanger is 1730159146. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Mark Fanger located?

Mark Fanger practices at 73 Roundwood Rd, Newton Upper Falls, MA 02464. The listed phone number is (617) 969-4040.

What is Mark Fanger's specialty?

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

Is Mark Fanger enrolled in Medicare?

No. Mark Fanger has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mark Fanger was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.