Mark J. Detzer, PHD
NPI 1215032214ActiveIndividual· Psychologist, Clinical· White River Junction, VT
Psychologist, Clinical (PHD) in White River Junction, Vermont, trained at University of Vermont College of Medicine (class of 1992). Medicare paid $4,852 for services to 13 patients in 2024.
Overview
| NPI | 1215032214 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Oct 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 854 | NH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 58 across 4 procedure codes |
| Paid by Medicare | $4,852 |
Education and affiliations
| Medical school | University of Vermont College of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Northeastern Vermont Regional Hospital IncSt Johnsbury, VT · 100 clinicians
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All 19 clinical psychologists in White River Junction · All clinical psychologists in Vermont