James Marinchak, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

020742 Issued in NY

Practice address

555 Willard Ave
Newington, CT 06111-2631

Phone

(215) 527-5231

NPI assigned

Jun 29, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1245645290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WAMPANOAG DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171219",
            "telephone_number": "215-527-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112631",
            "telephone_number": "215-527-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINCHAK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-29",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Maniscalco, PT
• Moly Malone Mannix
• Pamela L Manthous, M.D.
• Nancy Marcano, RN
• Lucy Catherine Marchigiano, P.T.A.
• Joanne Louise Marino, APRN
• Laura Mark, PT
• Market Square Dental Associates, LLC
• Mary Julia Martin-O'Brien, APRN
• Christina Elizabeth Martinelli, ATC, CSCS

• Psychologist in Newington, CT
• Providers in Newington, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.