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MARK WILLIAM RODEHAVER M.D.
NPI 1760401053
Specialist in Brookline, MA

Active since July 19, 2006
1330 BEACON ST, SUITE 263, BROOKLINE, MA 02446(617) 566-2859 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark William Rodehaver M.d. NPPES

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

MARK WILLIAM RODEHAVER M.D. (NPI 1760401053) is an individual specialist in Brookline, Massachusetts, licensed in Massachusetts (36905) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1760401053
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK WILLIAM RODEHAVERCredential: M.D.
Location Address1330 BEACON ST, SUITE 263Brookline, MA 02446-3282
Mailing Address127 Winthrop Rd, 4Brookline, MA 02445-4678 · (617) 566-2859
Phone(617) 566-2859
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760401053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 36905
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1330 BEACON ST, Brookline, MA 02446
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Other Identifiers 2

Medicare UPINA55064MA
Medicaid2033917MN

Other Providers at the Same Location NPPES 20

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

DR. ROBERTA S. ISBERG M.D.
Psychiatry & Neurology (Psychiatry)
1330 BEACON ST, SUITE 254
BROOKLINE, MA 02446
Norfolk County (617) 731-3422
MAUREEN ELEONORA MCCORMICK PH.D.
Psychologist
1330 BEACON ST, STE 203
BROOKLINE, MA 02446
Norfolk County (617) 970-3275
DR. LAWRENCE L. PHAN DMD
Dentist (Prosthodontics)
1330 BEACON ST, SUITE 353
BROOKLINE, MA 02446
Norfolk County (617) 734-6300
DR. ROBERT JOSEPH RIETHMILLER
Psychologist (Clinical)
1330 BEACON ST, STE 314
BROOKLINE, MA 02446
Norfolk County (617) 738-0100
GABRIEL GRUNER LICSW
Social Worker (Clinical)
1330 BEACON ST
BROOKLINE, MA 02446
Norfolk County (617) 332-2700
DR. JILLIAN BETH FRANK PH.D.
Psychologist (Clinical)
1330 BEACON ST, SUITE 252
BROOKLINE, MA 02446
Norfolk County (617) 731-1411
EMILY W GORDON PSY.D.
Psychologist (Clinical)
1330 BEACON ST, SUITE 324
BROOKLINE, MA 02446
Norfolk County (617) 278-9990
DR. LOREN A. BROOKS PH.D.
Psychologist
1330 BEACON ST, SUITE 345
BROOKLINE, MA 02446
Norfolk County (617) 731-0500

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 Rodehaver's NPI number?

The NPI number for Mark Rodehaver is 1760401053. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Mark Rodehaver located?

Mark Rodehaver practices at 1330 Beacon St Suite 263, Brookline, MA 02446. The listed phone number is (617) 566-2859.

What is Mark Rodehaver's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Rodehaver 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.