Individual provider · NPI-1

Dr. Marc W Barnes, Ph.D, CADAC IV

Psychologist, Family · Fort Wayne, IN

NPI number1912095548

StatusActive

Last updated in NPPESSep 11, 2025

Details

NPI: 1912095548
Entity type: Individual (NPI-1)
Name: Dr. Marc W Barnes
Credential: Ph.D, CADAC IV
Sex: Male
Sole proprietor: No
Enumeration date: Oct 10, 2006
Last updated: Sep 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TF0000X	Psychologist, Family	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP1600X	Counselor, Pastoral	–	–
103T00000X	Psychologist	–	–
103TE1100X	Psychologist, Exercise & Sports	–	–

Practice location

2821 Hillegas Rd
Fort Wayne, IN 46808-3859

Phone 260-471-1950 · Fax 260-471-1950

Mailing address

3518 Maxim Dr
Fort Wayne, IN 46815-6131

Phone 260-385-0513 · Fax 866-799-4012

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