MR. MICKEY MARSHALL
NPI 1992913495
Psychologist - School in Berkeley, CA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
3200 ADELINE ST, BERKELEY, CA 94703(510) 601-0203(510) 601-4002 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mickey Marshall NPPES

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

MR. MICKEY MARSHALL (NPI 1992913495) is an individual school provider in Berkeley, California and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992913495
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameMR. MICKEY MARSHALL
Location Address3200 ADELINE STBerkeley, CA 94703-2407
Mailing Address3200 Adeline StBerkeley, CA 94703-2407 · (510) 601-0203 · Fax (510) 601-4002
Fax(510) 601-4002
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 18, 2007
Last NPPES UpdateJanuary 3, 2022
NPI 1992913495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
3200 ADELINE ST, Berkeley, CA 94703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Mickey Marshall is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527337369
PECOS Enrollment IDI20170710002788
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Social Worker
3200 ADELINE ST
BERKELEY, CA 94703
Technician, Health Information
3200 ADELINE ST
BERKELEY, CA 94703
Technician, Health Information
3200 ADELINE ST
BERKELEY, CA 94703
Specialist
3200 ADELINE ST
BERKELEY, CA 94703
Social Worker
3200 ADELINE ST
BERKELEY, CA 94703
Counselor (Mental Health)
3200 ADELINE ST
BERKELEY, CA 94703
Psychologist (Clinical)
3200 ADELINE ST
BERKELEY, CA 94703
Marriage & Family Therapist
3200 ADELINE ST
BERKELEY, CA 94703

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 Mickey Marshall's NPI number?

The NPI number for Mickey Marshall is 1992913495. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Mickey Marshall located?

Mickey Marshall practices at 3200 Adeline St, Berkeley, CA 94703. The listed phone number is (510) 601-0203.

What is Mickey Marshall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Mickey Marshall enrolled in Medicare?

Yes. Mickey Marshall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mickey Marshall was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.