Active NPI
George J Kocman Jr., MS
- Psychologist
- York, PA
National Provider Identifier
1710929138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS007141L
- Practice address
- 626 Maurice St
York, PA 17404-1386 - Phone
- (717) 801-1600
- Fax
- (717) 801-1600
- NPI assigned
- Jun 11, 2006
- Last updated
- Feb 5, 2024
- 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 | PS007141L | PA | Primary |
Addresses
Primary practice location
626 Maurice St
York, PA 17404-1386
Mailing address
626 Maurice St
York, PA 17404-1386
Phone (717) 801-1600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463293 | Other | PA | VALUE OPTIONS |
| 03265301 | Other | PA | CAPITAL BLUE CROSS |
| 2107727 | Other | PA | MAMSI |
| 098755000 | Other | PA | MAGELLAN |
| 604755 | Other | PA | PA BLUE SHIELD |
| 2164053 | Other | PA | CIGNA BEHAVIORAL HEALTH |
| 60606301 | Other | PA | BC/BS OF MD CARE FIRST |
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 |
|---|---|---|---|
| PS007141L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1710929138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 MAURICE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174041386",
"telephone_number": "717-801-1600",
"fax_number": "717-801-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 MAURICE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174041386",
"telephone_number": "717-801-1600",
"fax_number": "717-801-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCMAN",
"first_name": "GEORGE",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS007141L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "463293",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03265301",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2107727",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "098755000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "604755",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2164053",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MD CARE FIRST",
"identifier": "60606301",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.