What is Mark Bolton's NPI number?

Mark Bolton's National Provider Identifier (NPI) is 1164128625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Bolton's specialty?

Mark Bolton is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Mark Bolton located?

Mark Bolton's practice location on file with NPPES is 549 Taylor Ave, Cape Canaveral, FL 32920-5204.

What is Mark Bolton's phone number?

The practice phone number listed in the NPPES registry for Mark Bolton is (313) 258-4137.

Is Mark Bolton's NPI active?

Yes — Mark Bolton's NPI (1164128625) is active in the NPPES registry as of the last update on 2023-02-06.

IndividualActive

Mark Bolton

NPI 1164128625 · Psychologist · Cape Canaveral, FL

Mark Bolton is a Psychologist provider in Cape Canaveral, FL (NPI 1164128625).

Provider details

NPI number: 1164128625
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: CC-0C4150341544 (MI)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense CC-0C4150341544 (MI)
Behavioral Health & Social Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

549 Taylor Ave

Cape Canaveral, FL 32920-5204

Phone: (313) 258-4137

Street-level locationGet directions

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Mailing address