MARK DAVID WORTHEN PSYD
NPI 1770502379
Psychologist - Clinical in Charlotte, NC

Q: What is Mark Worthen's NPI number?

The NPI number for Mark Worthen is 1770502379. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Mark D Worthen Psyd.

Q: What is Mark Worthen'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 Worthen was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 18, 2006

15720 BRIXHAM HILL AVE STE 300, CHARLOTTE, NC 28277(980) 391-6309(980) 729-5870 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2024, Oct 12, 2019 (2 updates tracked since 2019).

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About Mark David Worthen Psyd NPPES

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

MARK DAVID WORTHEN PSYD (NPI 1770502379) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (1835) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1770502379

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMARK DAVID WORTHENCredential: PSYD

Location Address15720 BRIXHAM HILL AVE STE 300Charlotte, NC 28277-4784

Mailing AddressPo Box 410105Charlotte, NC 28241-0105 · (980) 391-6309 · Fax (980) 729-5870

Phone(980) 391-6309

Fax(980) 729-5870

Sole ProprietorYes

Enumeration DateJuly 18, 2006

Last NPPES UpdateMay 18, 20242 updates tracked since enumeration

NPPES CertifiedMay 18, 2024

✔ NPI 1770502379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 1835

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 ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 1835 (NC)

Also ListedPsychologist · ForensicTaxonomy 103TF0200X

15720 BRIXHAM HILL AVE STE 300, Charlotte, NC 28277

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Other Names 1

Professional Name (2)Mark D Worthen Psyd

Other Identifiers 1

Medicaid6000718NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 8

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

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