IndividualActive
Marcus Van Sickle, PH.D., ABPP, MPAP
NPI 1043666506 · Prescribing (Medical) Psychologist · North Charleston, SC
Provider details
- NPI number
- 1043666506
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., ABPP, MPAP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 340254 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1050 Remount Rd Bldg 3107
North Charleston, SC 29406-3516
Phone: (571) 607-2055
Street-level locationGet directions
Mailing address
9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031
Additional practice locations (1)
- 110 Nnptc CirGoose Creek, SC 29445-6314Phone: (843) 794-0071
Registry dates
- Enumerated
- 2016-05-13
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.