Organization Active NPI

K Mark Sossin PHD & Jan Charone-Sossin PHD, Clinical Psychologists PC

  • Adolescent and Children Mental Health Clinic/Center
  • New Hyde Park, NY
National Provider Identifier
1629593298
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
007228 Issued in NY
Legal business name
K MARK SOSSIN PHD & JAN CHARONE-SOSSIN PHD, CLINICAL PSYCHOLOGISTS PC
Practice address
1893 Stewart Ave
New Hyde Park, NY 11040
Phone
(516) 326-2401
Fax
(516) 326-6973
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. K Mark Sossin, PHD
Title
President
Phone
(516) 326-2401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 007223 NY
Adolescent and Children Mental Health Clinic/Center 261QM0855X 007228 NY Primary

Addresses

Primary practice location

1893 Stewart Ave
New Hyde Park, NY 11040

Mailing address

1893 Stewart Ave
New Hyde Park, NY 11040-1623
Phone (516) 326-2401

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629593298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 STEWART AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401623",
            "telephone_number": "516-326-2401",
            "fax_number": "516-326-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 STEWART AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-326-2401",
            "fax_number": "516-326-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K MARK SOSSIN PHD & JAN CHARONE-SOSSIN PHD, CLINICAL PSYCHOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOSSIN",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-326-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "007223",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "007228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.