Organization Active NPI

Dianne Marino Surovcik PHD Dba DMS Psychological Services, LLC

Doing business as DMS Psychological Services LLC

  • Clinical Psychologist
  • Hellertown, PA
National Provider Identifier
1609110691
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DIANNE MARINO SUROVCIK PHD DBA DMS PSYCHOLOGICAL SERVICES, LLC
Doing business as
DMS Psychological Services LLC
Practice address
175 W Butternut Rd
Hellertown, PA 18055-9712
Phone
(484) 851-3486
NPI assigned
Nov 15, 2012
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dianne Marino-Surovcik PHD, PHD
Title
Owner
Phone
(484) 851-3486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

175 W Butternut Rd
Hellertown, PA 18055-9712

Mailing address

175 W Butternut Rd
Hellertown, PA 18055-9712
Phone (484) 851-3486

Other identifiers 1

IdentifierTypeStateIssuer
PS009188LOtherPAPA STATE BOARD OF PSYCHOLOGY

Other names 1

  • DMS PSYCHOLOGICAL SERVICES LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmarino@mscorp.us.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130104000114 PA Part B Supplier - Clinic/Group Practice 1658524400 Receives reassigned benefits from 1 practitioner
Practice locations: Hellertown, PA

National Provider Directory

National Provider Directory

Locations

42 Main St
Hellertown, PA 18055
Phone (484) 896-0493

800 Main St
Ste 106
Hellertown, PA 18055
Phone (484) 851-3486

Practitioners & affiliated clinicians

Practitioners 4

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1609110691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W BUTTERNUT RD",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180559712",
            "telephone_number": "484-851-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W BUTTERNUT RD",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180559712",
            "telephone_number": "484-851-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE MARINO SUROVCIK PHD DBA DMS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "MARINO-SUROVCIK PHD",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-851-3486",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE BOARD OF PSYCHOLOGY",
            "identifier": "PS009188L",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmarino@mscorp.us.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "175 W Butternut Rd",
            "city": "Hellertown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180559712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DMS PSYCHOLOGICAL SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hellertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.