Lawrence M Satifka Ma LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS005192L Issued in PA

Legal business name

LAWRENCE M SATIFKA MA LLC

Practice address

200 Pine St Ste 400
Williamsport, PA 17701-6503

Phone

(570) 772-3090

Fax

(570) 300-2371

NPI assigned

Dec 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Matthew Satifka, MA

Title

PA Licensed Psychologist

Phone

(570) 772-3090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1104281989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PINE ST STE 400",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016503",
            "telephone_number": "570-772-3090",
            "fax_number": "570-300-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PINE ST STE 400",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016503",
            "telephone_number": "570-772-3090",
            "fax_number": "570-300-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M SATIFKA MA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "SATIFKA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PA LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-772-3090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS005192L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100743420005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.