DR. MARK A EDINBERG PH.D.
NPI 1750374625
Psychologist - Clinical in Fairfield, CT

Q: What is Mark Edinberg's NPI number?

The NPI number for Mark Edinberg is 1750374625. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Mark Edinberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Edinberg was last updated on September 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 25, 2005

145 MARNE AVE, FAIRFIELD, CT 06825(203) 254-8372(203) 335-5497 Get Directions Write a Review

NPPES record last updated: September 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark A Edinberg Ph.d. NPPES

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

DR. MARK A EDINBERG PH.D. (NPI 1750374625) is an individual clinical provider in Fairfield, Connecticut, licensed in Connecticut (748) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1750374625

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK A EDINBERGCredential: PH.D.

Location Address145 MARNE AVEFairfield, CT 06825-1752

Mailing Address145 Marne AveFairfield, CT 06825-1752 · (203) 335-5497 · Fax (203) 335-5497

Phone(203) 254-8372

Fax(203) 335-5497

Sole ProprietorYes

Enumeration DateAugust 25, 2005

Last NPPES UpdateSeptember 2, 2013

✔ NPI 1750374625 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 CT · 748

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.

145 MARNE AVE, Fairfield, CT 06825

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Other Identifiers 3

Medicare PIND300043869CT

Medicaid4100484CT

Medicare ID-Type Unspecified680000027CT · Clinical Psychologist

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 Edinberg's NPI number?

The NPI number for Mark Edinberg is 1750374625. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Mark Edinberg located?

Mark Edinberg practices at 145 Marne Ave, Fairfield, CT 06825. The listed phone number is (203) 254-8372.

What is Mark Edinberg's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Edinberg was last updated on September 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.