Individual provider Active NPI

Mark James Sciutto, PH.D.

  • Psychologist
  • Bethlehem, PA
National Provider Identifier
1619656022
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS009175L Issued in PA
Practice address
2005 City Line Rd Ste 300
Bethlehem, PA 18017-7701
Phone
(610) 865-8177
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS009175L PA Primary

Addresses

Primary practice location

2005 City Line Rd Ste 300
Bethlehem, PA 18017-7701

Mailing address

747 Park Rd
Lansdale, PA 19446-5611
Phone (215) 896-3935

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
I20230828001342 PA Practitioner - Clinical Psychologist 2961865787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodling CorporationGroup PAC ID 2466756283, 19 clinicians

Practice addresses (Care Compare)

2005 City Line Rd
Suite 300
Bethlehem, PA 18017-7701
Phone (610) 865-8177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodling Corporation CurrentSince Jul 27, 2023 Accepting new patients
Quaker State Medical Services Co Inc PastSince Jul 16, 2023 Accepting new patients

Locations

2005 City Line Rd
Ste 300
Bethlehem, PA 18017
Phone (610) 865-8177

Organizations & group practices 2

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1619656022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 PARK RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465611",
            "telephone_number": "215-896-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CITY LINE RD STE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177701",
            "telephone_number": "610-865-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIUTTO",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009175L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.