Individual provider Active NPI

Mary Ann Swiatek, PH D

  • Psychologist
  • Center Valley, PA
National Provider Identifier
1407998933
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008521L Issued in PA
Practice address
3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8235
Phone
(484) 224-3447
Fax
(484) 224-3501
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS008521L PA Primary

Addresses

Primary practice location

3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8235

Mailing address

3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8235
Phone (484) 224-3447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 27, 2015 through Mar 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS008521LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1407998933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348235",
            "telephone_number": "484-224-3447",
            "fax_number": "484-224-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348235",
            "telephone_number": "484-224-3447",
            "fax_number": "484-224-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIATEK",
        "first_name": "MARY ANN",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008521L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.