Active NPI
Lewis Krieg, PSYCHOLGIST
- Psychologist
- Scotrun, PA
National Provider Identifier
1649334707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS007321L
- Practice address
- 408 Scotrun Ave.
Scotrun, PA 18355-9663 - Phone
- (570) 688-2929
- Fax
- (570) 688-0022
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PS007321L | PA | Primary |
Addresses
Primary practice location
408 Scotrun Ave.
Scotrun, PA 18355-9663
Mailing address
PO Box 325
Scotrun, PA 18355-0325
Phone (570) 688-2929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007321L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Psychological Services | Psychologist | 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.
-
- Psychologist
- Scotrun, PA
- NPI 1801094800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1649334707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 325",
"city": "SCOTRUN",
"state": "PA",
"postal_code": "183550325",
"telephone_number": "570-688-2929",
"fax_number": "570-688-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 SCOTRUN AVE.",
"city": "SCOTRUN",
"state": "PA",
"postal_code": "183559663",
"telephone_number": "570-688-2929",
"fax_number": "570-688-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEG",
"first_name": "LEWIS",
"credential": "PSYCHOLGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS007321L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotrun, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.