Individual provider Active NPI

Tammy Gregorowicz, PHD

  • Psychologist
  • Kingston, PA
National Provider Identifier
1467800615
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020043 Issued in PA
Practice address
189 Market St
Kingston, PA 18704-5400
Phone
(570) 961-3361
Fax
(570) 961-3364
NPI assigned
May 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020043 PA Primary
Psychologist 103T00000X 022637 NY
Professional Counselor 101YP2500X PC009386 PA
Behavior Analyst 103K00000X BH000604 PA

Addresses

Primary practice location

189 Market St
Kingston, PA 18704-5400

Mailing address

86 Oak St
Forty Fort, PA 18704-4009
Phone (570) 793-0219

Other practice location 1

86 Oak St
Forty Fort, PA 18704-4009
Phone (570) 793-0219

Other practice location 2

4101 Birney Ave
Moosic, PA 18507
Phone (570) 961-3361

Other identifiers 1

IdentifierTypeStateIssuer
1467800615MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319000635 PA Practitioner - Clinical Psychologist 4486918927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC009386PAMDProfessional Counselor
BH000604PAMDBehavioral Analyst
PS020043PAMDPsychologist
022637NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John G Kuna Psy D & Associates LLC CurrentSince Feb 23, 2024 Accepting new patients

Locations

189 Market St
Kingston, PA 18704
Phone (570) 288-6220

1011 Pennsylvania Ave
Matamoras, PA 18336
Phone (570) 491-4728

4101 Birney Ave
Moosic, PA 18507
Phone (507) 961-3361

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1467800615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 OAK ST",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044009",
            "telephone_number": "570-793-0219",
            "fax_number": "607-238-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045400",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Oak St",
            "address_purpose": "LOCATION",
            "city": "Forty Fort",
            "state": "PA",
            "postal_code": "187044009",
            "country_code": "US",
            "telephone_number": "570-793-0219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 Birney Ave",
            "address_purpose": "LOCATION",
            "city": "Moosic",
            "state": "PA",
            "postal_code": "18507",
            "country_code": "US",
            "telephone_number": "570-961-3361",
            "fax_number": "570-961-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGOROWICZ",
        "first_name": "TAMMY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020043",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022637",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009386",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467800615",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.