Active NPI
Mark Robert Oleski, MA
- Psychologist
- Saratoga, PA
National Provider Identifier
1679643175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006819L
- Practice address
- 600 Creekside Dr
Suite 609
Saratoga, PA 19464 - Phone
- (610) 327-1631
- Fax
- (610) 327-1199
- NPI assigned
- Nov 9, 2006
- Last updated
- Jul 8, 2007
- 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 | PS006819L | PA | Primary |
Addresses
Primary practice location
600 Creekside Dr
Suite 609
Saratoga, PA 19464
Mailing address
211 Cherokee Circle
Royersford, PA 19468
Phone (610) 495-2259
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006819L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yong Shik Shin MD and Associates LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679643175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 CHEROKEE CIRCLE",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "19468",
"telephone_number": "610-495-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CREEKSIDE DR",
"address_2": "SUITE 609",
"city": "SARATOGA",
"state": "PA",
"postal_code": "19464",
"telephone_number": "610-327-1631",
"fax_number": "610-327-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLESKI",
"first_name": "MARK",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006819L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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.