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MR. MARK J POULIN NP
NPI 1801824875
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since June 29, 2006
4909 E MCDOWELL RD, PHOENIX, AZ 85008(602) 685-6000(602) 275-1355 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark J Poulin Np NPPES

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

MR. MARK J POULIN NP (NPI 1801824875) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (AP1737) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1801824875
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MARK J POULINCredential: NP
Location Address4909 E MCDOWELL RDPhoenix, AZ 85008-7735
Mailing Address3003 N Central Ave, Suite 200Phoenix, AZ 85012-2902 · (602) 685-6000 · Fax (602) 302-7925
Phone(602) 685-6000
Fax(602) 275-1355
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 6, 2016
✔ NPI 1801824875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · AP1737✔ Licensed in AZ · RN108520
4909 E MCDOWELL RD, Phoenix, AZ 85008
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Other Identifiers 3

Medicaid816233AZ
Medicare UPINQ41575
Medicare PINZ170888AZ

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.

EMILY MARCHETTI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000
LISA MARIE GASTALDI LIAC
Counselor (Addiction (Substance Use Disorder))
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000
DAVID ARMSTRONG OBERGFELL LCSW
Social Worker (Clinical)
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000
MRS. LYDIA AURORA ROY L.P.C.
Counselor (Professional)
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000
DIANA M KIRBY LCSW
Social Worker (Clinical)
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000
CASSANDRA HUCKLEBERRY
Counselor (Professional)
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000
JENNIFER L JOHNSON LCSW
Social Worker (Clinical)
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000
BETHEL J MCCOY LISAC
Counselor (Addiction (Substance Use Disorder))
4909 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 685-6000

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 Poulin's NPI number?

The NPI number for Mark Poulin is 1801824875. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Mark Poulin located?

Mark Poulin practices at 4909 E Mcdowell Rd, Phoenix, AZ 85008. The listed phone number is (602) 685-6000.

What is Mark Poulin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mark Poulin was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.