Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mickey Marshall

Individual provider School Psychologist · NPI 1992913495

Mr. Mickey Marshall is a Clinical Psychologist in Berkeley, California. Qualified in 2008, 18 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
18
In the registry since
2007
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Practice location Address checks out

3200 Adeline St
Berkeley, CA 94703-2407
Phone: (510) 601-0203
Fax: (510) 601-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X

Record details

NPI number1992913495
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESJanuary 3, 2022
Mailing address3200 Adeline St, Berkeley, CA 94703-2407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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