NPIMap

Organization Active NPI

Mark Sowcik, Psychologist, LLC

Doing business as Evergreen Behavioral Intervention for Children

  • Psychologist
  • Luzerne, PA
National Provider Identifier
1477985752
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-004971L Issued in PA
Legal business name
MARK SOWCIK, PSYCHOLOGIST, LLC
Doing business as
Evergreen Behavioral Intervention for Children
Practice address
90 Main St
Luzerne, PA 18709-1210
Phone
(570) 793-1981
NPI assigned
Aug 8, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Dr. Mark K Sowcik, PH.D.NPI 1972661031
Title
Psychologist/Owner
Phone
(570) 793-1981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-004971L PA Primary

Addresses

Primary practice location

90 Main St
Luzerne, PA 18709-1210

Mailing address

90 Main St
Luzerne, PA 18709-1210
Phone (570) 793-1981

Other names 1

  • Evergreen Behavioral Intervention for Children Doing business as

National Provider Directory

National Provider Directory

Locations

90 Main St
Luzerne, PA 18709
Phone (570) 714-3860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1477985752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091210",
            "telephone_number": "570-793-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091210",
            "telephone_number": "570-793-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SOWCIK, PSYCHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "SOWCIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "570-793-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-004971L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Behavioral Intervention for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luzerne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.