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Deactivated NPI 1629065495 Deactivated / Inactive NPI Male Practitioner

Dr. Mark S. Warner , PhD

Psychologist • Lafayette, LA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Warner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2005
NPI Deactivation Date September 18, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Warner, PhD was a registered Psychologist practicing in Lafayette, LA. Throughout an active medical career spanning 20 years, Dr. Warner provided care at the practice location at 217 E KALISTE SALOOM RD until profile deactivation on 2025-09-18.

Practice Location & Contact Primary Location

Practice Address

217 E Kaliste Saloom Rd
Suite 101

Lafayette, LA 705088513

Telephone 3372615151
Associated Practice Facility / Clinic
🏢 Hedge Diagnostics, Inc, Apmc Facility NPI 1003803248

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Lafayette, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Lafayette, LA (208 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License LA 651

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Alexandra Florian , PT

Physical Therapist

NPI 1003804840

Physical Therapist

Anthony Quinn , PT

Physical Therapist

NPI 1013905843

Physical Therapist

Dr. Steven Lee , MD

Anesthesiology

NPI 1033106935

Doctor of Medicine (M.D.)

NPI 1134116171

Doctor of Medicine (M.D.)

Dr. Rodney Burns , MD

Radiology - Diagnostic Radiology

NPI 1164419370

Doctor of Medicine (M.D.)

NPI 1174510051

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 18, 2025

Record deactivated on September 18, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 217 E KALISTE SALOOM RD, SUITE 101, LAFAYETTE, LA 705088513 (Tel: 3372615151)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 53286, LAFAYETTE, LA 705053286 (Tel: 3372615151)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK WARNER, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #651 in LA)

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Initial NPI Registration & Enumeration October 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629065495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: July 08, 2007
Deactivation Date: September 18, 2025

Mailing Address

Po Box 53286

Lafayette, LA 705053286

Phone: 3372615151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.