John Shovlin, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006992L Issued in PA

Practice address

676 Wyoming Ave
Kingston, PA 18704-3857

Phone

(570) 283-1600

Fax

(570) 283-5515

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Susquehanna Counseling Group, Inc.

  • Psychologist
  • Kingston, PA
  • NPI 1790894749
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447356852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043857",
            "telephone_number": "570-283-1600",
            "fax_number": "570-283-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043857",
            "telephone_number": "570-283-1600",
            "fax_number": "570-283-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOVLIN",
        "first_name": "JOHN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006992L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE #",
            "identifier": "62-74070",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH #",
            "identifier": "077885",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS #",
            "identifier": "SH550347",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Sheikh, CRNP
• Ronald Thomas Shevock, DMD
• Martha Shipe, O.D.
• Larry H Shire, DDS
• Robert L. Shmokler, DPM
• Jackee Shrader, RDN
• Laura L Sickler, R.D.N.
• Barbara Sieminski
• Richard M Silberman, D.D. S.
• Elliott Silkowski, PHARM.D

• Psychologist in Kingston, PA
• Providers in Kingston, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.