Individual provider Active NPI

Mark Zengerle, M.S.

  • Psychologist
  • Hanover, PA
National Provider Identifier
1396827119
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007463L Issued in PA
Practice address
625 W Elm Ave
Hanover, PA 17331-5125
Phone
(717) 632-4900
Fax
(717) 632-3657
NPI assigned
Oct 20, 2006
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS007463L PA Primary

Addresses

Primary practice location

625 W Elm Ave
Hanover, PA 17331-5125

Mailing address

625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900

Other practice location 1

4349 Carlisle Pike
Ste 101
Camp Hill, PA 17011-4252
Phone (717) 775-3380

Other practice location 2

960 Century Drive
Mechanicsburg, PA 17055
Phone (717) 795-0330

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PS007463LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Truenorth Wellness Services Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1396827119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W ELM AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315125",
            "telephone_number": "717-632-4900",
            "fax_number": "717-632-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W ELM AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315125",
            "telephone_number": "717-632-4900",
            "fax_number": "717-632-3657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4349 Carlisle Pike",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114252",
            "country_code": "US",
            "telephone_number": "717-775-3380",
            "fax_number": "717-775-3382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 Century Drive",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "17055",
            "country_code": "US",
            "telephone_number": "717-795-0330",
            "fax_number": "717-795-0407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZENGERLE",
        "first_name": "MARK",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007463L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.