Christopher Thomas Kaczka, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018698 Issued in PA

Practice address

1489 Baltimore Pike Ste 250
Springfield, PA 19064-3974

Phone

(610) 544-2110

NPI assigned

May 6, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A to Z Psychological Services LLC

  • Psychologist
  • Mullica Hill, NJ
  • NPI 1831635192
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1285952978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629402",
            "telephone_number": "568-579-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE STE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643974",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 S Main St",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080629402",
            "country_code": "US",
            "telephone_number": "856-579-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZKA",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018698",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00605900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ancil Jones, MD
• Charlene Jones, M.D., MPH
• Midhuna Elsa Joseph, R.PH.
• Jr Heller, DC, LTD
• Madison Leigh Justice
• Karen L Kampmeyer, PH.D.
• Taeho Kang, DDS
• Aliza NMN Kapoor
• Parisa Karimzadeh
• Natasha Katchur

• Psychologist in Springfield, PA
• Providers in Springfield, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.