Active NPI
Mark Vecchio
- Psychoanalyst
- Kingston, NY
National Provider Identifier
1255186680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 001205
- Practice address
- 224 Fair St Ste 9
Kingston, NY 12401-4561 - Phone
- (413) 203-4567
- NPI assigned
- Apr 19, 2024
- Last updated
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 001205 | NY | Primary |
Addresses
Primary practice location
224 Fair St Ste 9
Kingston, NY 12401-4561
Mailing address
224 Fair St Ste 9
Kingston, NY 12401-4561
Phone (413) 203-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001205 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1255186680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 FAIR ST STE 9",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014561",
"telephone_number": "413-203-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 FAIR ST STE 9",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014561",
"telephone_number": "413-203-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VECCHIO",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "001205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
- Debra A. Vargas
- Luciana Hubner Vargas, LPN
- Rochak Varma, M.D.
- Vassar Brothers Hospital Ulster Radiation Oncology Center (Ulster Radiation Oncology Center)
- Renee Leigh Vaughn, LMT, NCTMB
- Jose Roberto Veloso de Araujo, LMSW
- Kalyan R. Venkat, M.D.
- Ivan Verde-Sanchez, M.D
- Joyce Marcley Vergili, ED.D., R.D., C.D.E.
- Emily McMillan Vetrano, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.