Active NPI
Eugene Patrick Pryor Jr., PSYD
- Clinical Psychologist
- Clarks Summit, PA
National Provider Identifier
1477720761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS004383L
- Practice address
- 120 North Abington Road
Clarks Summit, PA 18411-2541 - Phone
- (570) 586-2966
- NPI assigned
- May 15, 2008
- Last updated
- May 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004383L | PA | |
| Psychologist | 103T00000X | 3382 | MA | |
| Clinical Psychologist | 103TC0700X | PS004383L | PA | Primary |
| Clinical Psychologist | 103TC0700X | 3382 | MA | |
| Psychoanalyst | 102L00000X | 134 | NY |
Addresses
Primary practice location
120 North Abington Road
Clarks Summit, PA 18411-2541
Mailing address
120 North Abington Road
Clarks Summit, PA 18411-2541
Phone (570) 586-2966
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR152198 | Other | PA | BCBS |
| PRW03427 | Other | MA | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134 | NY | MD | Psychoanalyst |
| PS004383L | PA | MD | Clinical Psychologist |
| 3382 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1477720761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NORTH ABINGTON ROAD",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184112541",
"telephone_number": "570-586-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NORTH ABINGTON ROAD",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184112541",
"telephone_number": "570-586-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "EUGENE",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004383L",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3382",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS004383L",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3382",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "134",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PR152198",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PRW03427",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarks Summit, PA
- Porzio-Hawley Chiropractic & Nutrition Center LLC
- Nicole Marie Porzio-Hawley, D.C.
- Sheela S Prahalad, M.D.
- Primemed, P.C. (Viewmont Medical LABS)
- Carina Pronitis, PT
- Megan A Purcell, MS, NCC, LPC
- Michael Pusateri, DPT
- Michele Marie Pusateri
- Raphael Heart Group. P.C.
- Mary Christine Remick, M.A., BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.