NPIMap

Individual provider Active NPI

Mark J Saxon, D.O.

  • Psychiatry Physician
  • Kingston, PA
National Provider Identifier
1255389326
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0S-008157L Issued in PA
Practice address
480 Pierce Street
Suite 212
Kingston, PA 18704
Phone
(570) 718-1996
Fax
(570) 718-1997
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0S-008157L PA Primary

Addresses

Primary practice location

480 Pierce Street
Suite 212
Kingston, PA 18704

Mailing address

480 Pierce Street
Suite 212
Kingston, PA 18704
Phone (570) 718-1996

Other identifiers 2

IdentifierTypeStateIssuer
000000266238OtherUNISON
0015924070002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302001022 PA Practitioner - Psychiatry 3476506320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Counseling ServicesGroup PAC ID 5799768115, 10 clinicians
Saxon Psychiatric Services P.C.Group PAC ID 4587828363, 2 clinicians

Practice addresses (Care Compare)

121 S Prospect St
Nanticoke, PA 18634-2456
Phone (570) 735-7590

1425 Shoemaker Ave
West Wyoming, PA 18644-1020
Phone (570) 718-1996

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53.74 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
79.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S-008157LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling Services CurrentSince Aug 17, 2011 Accepting new patients
Saxon Psychiatric Services P.C. Psychiatry CurrentSince Jan 1, 2012 Accepting new patients
Northeast Counseling Services CurrentSince Aug 17, 2011 Accepting new patients
Wilkes-Barre Behavioral Hospital Company LLC Psychiatry Past Accepting new patients
Luzerne Wyoming County Mental Health Center #1 Past Accepting new patients
Pennsylvania Department of Human Services Past Accepting new patients
Luzerne Wyoming County Mental Health Center #1 Past Accepting new patients

Locations

750 E Broad St
Hazleton, PA 18201

480 Pierce St
Ste 212
Kingston, PA 18704
Phone (570) 357-7079

121 S Prospect St
Nanticoke, PA 18634
Phone 5704556385 ext. 255

1425 Shoemaker Ave
Wyoming, PA 18644
Phone (570) 718-1996

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1255389326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PIERCE STREET",
            "address_2": "SUITE 212",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-718-1996",
            "fax_number": "570-718-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE STREET",
            "address_2": "SUITE 212",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-718-1996",
            "fax_number": "570-718-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXON",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "0S-008157L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000266238",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015924070002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.