Organization Active NPI

Raymond Kowalcyk, PH.D.

  • Clinical Psychologist
  • Coopersburg, PA
National Provider Identifier
1184895633
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS000833L Issued in PA
Legal business name
RAYMOND KOWALCYK, PH.D.
Practice address
6841 Blue Church Rd S
Coopersburg, PA 18036-1883
Phone
(610) 703-9633
Fax
(610) 282-2988
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Raymond Michael Kowalcyk, PH. D.NPI 1306016670
Title
Psychologist & President
Phone
(610) 703-9633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS000833L PA Primary

Addresses

Primary practice location

6841 Blue Church Rd S
Coopersburg, PA 18036-1883

Mailing address

6841 Blue Church Rd S
Coopersburg, PA 18036-1883
Phone (610) 703-9633

Other names 1

  • Allentown Psych. Inst. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1184895633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 BLUE CHURCH RD S",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361883",
            "telephone_number": "610-703-9633",
            "fax_number": "610-282-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 BLUE CHURCH RD S",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361883",
            "telephone_number": "610-703-9633",
            "fax_number": "610-282-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND KOWALCYK, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "KOWALCYK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST & PRESIDENT",
        "authorized_official_telephone_number": "610-703-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS000833L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allentown Psych. Inst.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coopersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.