Marek William Pyka, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

047-0000314 Issued in VT

Practice address

560 Railroad St
St Johnsbury, VT 05819

Phone

(802) 748-3181

Fax

(802) 748-0704

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1194877829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SADIE FOSS RD",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "05667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RAILROAD ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-3181",
            "fax_number": "802-748-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYKA",
        "first_name": "MAREK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047-0000314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009753",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark John Price, M.D.
• Megan A Price
• Matthew Gregory Prohaska Jr., M.D.
• Chad Proulx, RDN, CD
• Niles Prouty, RPH
• Nathan Railla, LCMHC
• John Raser, MD
• Johanna Esther Rawson, LADC
• Ashley Reed
• Elizabeth Reed

• Psychologist in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.