Active NPI
Sywulak & Weiss Psychological Associates LLC
- Marriage & Family Therapist
- Southampton, PA
National Provider Identifier
1295890846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000480
- Legal business name
- SYWULAK & WEISS PSYCHOLOGICAL ASSOCIATES LLC
- Practice address
- 928 Jaymor Road
Suite a 120
Southampton, PA 18966 - Phone
- (215) 355-8812
- Fax
- (215) 355-0926
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea E Sywulak, PHD
- Title
- Partner
- Phone
- (215) 355-8812
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS003501L | PA | |
| Clinical Psychologist | 103TC0700X | PS005712L | NJ | |
| Clinical Psychologist | 103TC0700X | PS005712L | PA | |
| Marriage & Family Therapist | 106H00000X | MF000480 | PA | Primary |
Addresses
Primary practice location
928 Jaymor Road
Suite a 120
Southampton, PA 18966
Mailing address
928 Jaymor Road
Suite a 120
Southampton, PA 18966
Phone (215) 355-8812
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 670165 | Other | PA | BLUE CROSS BLUE SHIELD |
| 4664582 | Other | AETNA | |
| 428178 | Other | PA | BLUE CROSS BLUE SHIELD |
| 4616180 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryLocations
729 Grove Ave
Unit 3
Southampton, PA 18966
Phone (215) 355-8812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1295890846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 JAYMOR ROAD",
"address_2": "SUITE A 120",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "18966",
"telephone_number": "215-355-8812",
"fax_number": "215-355-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 JAYMOR ROAD",
"address_2": "SUITE A 120",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "18966",
"telephone_number": "215-355-8812",
"fax_number": "215-355-0926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYWULAK & WEISS PSYCHOLOGICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SYWULAK",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "215-355-8812",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PA",
"license": "PS003501L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "PS005712L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS005712L",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "670165",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4664582",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "428178",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4616180",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.