Active NPI
Mary Beth C Sunick, PH.D.
- Psychologist
- Clarks Summit, PA
National Provider Identifier
1386744985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-0088098L
- Practice address
- 210 N State St
Clarks Summit, PA 18411-1008 - Phone
- (570) 587-5086
- Fax
- (570) 587-4521
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-0088098L | PA | Primary |
Addresses
Primary practice location
210 N State St
Clarks Summit, PA 18411-1008
Mailing address
116 Little Spike Way
Scranton, PA 18504-1282
Phone (570) 576-5086
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-0088098L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290211200000",
"number": "1386744985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 LITTLE SPIKE WAY",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185041282",
"telephone_number": "570-576-5086",
"fax_number": "570-587-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N STATE ST",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111008",
"telephone_number": "570-587-5086",
"fax_number": "570-587-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNICK",
"first_name": "MARY BETH",
"middle_name": "C",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2010-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-0088098L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.