Mark Anthony Goral, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS008187L Issued in PA

Practice address

100 W Ridge Ave Ste J
Sharpsville, PA 16150-1282

Phone

(724) 962-3125

Fax

(724) 962-3235

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1629077136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W RIDGE AVE STE J",
            "city": "SHARPSVILLE",
            "state": "PA",
            "postal_code": "161501282",
            "telephone_number": "724-962-3125",
            "fax_number": "724-962-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W RIDGE AVE STE J",
            "city": "SHARPSVILLE",
            "state": "PA",
            "postal_code": "161501282",
            "telephone_number": "724-962-3125",
            "fax_number": "724-962-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAL",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008187L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "GO115812",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017090360003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "462544",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph John Dejulia, PT
• Domenic Gerald Lombardi, DMD, LLC (Lombardi Dental)
• James William Evans, PHD
• Kristy D Fox, CH, RM, CLC
• Mandy Sue Fry, OTRL
• Kari Goughler, MS, LAT,ATC
• Brittany Grove, RN
• Amanda Hanson, MS-CCC, SLP
• Adrienne Lee Hearn
• I C P Inc

• Clinical Psychologist in Sharpsville, PA
• Providers in Sharpsville, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.