Joseph Ungvarsky Jr., PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP023833 Issued in PA

Practice address

600 Maple Ave Ste 15
Honesdale, PA 18431-1460

Phone

(570) 253-8219

NPI assigned

Jun 7, 2021

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Luzerne, PA
  • NPI 1427748086
  Medicare reassignment NPD Authorized official
• Evergreen Telepsychiatry PLLC

  • Clinic/Center
  • Kirkland, WA
  • NPI 1205593449
  NPD Authorized official
• John P Brady MD PC

  • Internal Medicine Physician
  • Forty Fort, PA
  • NPI 1679802748
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1093382277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE STE 15",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311460",
            "telephone_number": "570-253-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE STE 15",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311460",
            "telephone_number": "570-253-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11335 NE 122nd Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980346933",
            "country_code": "US",
            "telephone_number": "206-451-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNGVARSKY",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri County Human Services Center Inc
• Tri County Human Services Center Inc
• Tri County Human Services Center Inc
• True to You Therapy, LLC
• Brittney Tunilo
• Unity Healing LLC
• Denise C Viola, D.O.
• Vision Innovation Centers of Pennsylvania LLC
• Amanda Leigh Vitali, LPC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2480)

• Psychiatric/Mental Health Nurse Practitioner in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.