Organization Active NPI

Sywulak & Weiss Psychological Associates LLC

  • Marriage & Family Therapist
  • Southampton, PA
National Provider Identifier
1295890846
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000480 Issued in PA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS003501L PA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS005712L NJ
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS005712L PA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
670165OtherPABLUE CROSS BLUE SHIELD
4664582OtherAETNA
428178OtherPABLUE CROSS BLUE SHIELD
4616180OtherPAAETNA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.