Active NPI
Michael Andrew Viskovich, M.S.
- Psychologist
- Wyomissing, PA
National Provider Identifier
1629184718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004737L
- Practice address
- 938 Penn Ave
Wyomissing, PA 19610-3017 - Phone
- (610) 372-0466
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004737L | PA | Primary |
Addresses
Primary practice location
938 Penn Ave
Wyomissing, PA 19610-3017
Mailing address
202 John Glenn Ave
Shillington, PA 19607-2940
Phone (610) 775-3994
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004737L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter H. Thomasph.D. and Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Wyomissing, PA
- NPI 1073631248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629184718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 JOHN GLENN AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196072940",
"telephone_number": "610-775-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 PENN AVE",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103017",
"telephone_number": "610-372-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISKOVICH",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004737L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.