NPIMap

Individual provider Active NPI

Jacob Anthony Parrick, MD

  • Psychiatry Physician
  • Scranton, PA
National Provider Identifier
1730747858
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MT217805 Issued in PA
Practice address
501 S Washington Ave Ste 1000
Scranton, PA 18505-3814
Phone
(570) 230-0019
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD476294 PA
Psychiatry Physician 2084P0800X MT217805 PA Primary

Addresses

Primary practice location

501 S Washington Ave Ste 1000
Scranton, PA 18505-3814

Mailing address

970 Ridge Ave Apt 4
Scranton, PA 18510-1483

Other practice location 1

5 S Washington Ave
Jermyn, PA 18433-1121
Phone (570) 230-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217000881 PA Practitioner - Psychiatry 9335477470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scranton Counseling CenterGroup PAC ID 2769380120, 16 clinicians

Practice addresses (Care Compare)

1141 Clay Ave
Suite 2
Dunmore, PA 18510-1191
Phone (570) 207-7919

Hospital & facility affiliations

  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD476294PAMDPsychiatry Physician
MT217805PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Counseling Center CurrentSince Jul 1, 2023 Accepting new patients

Locations

1141 Clay Ave
Ste 2
Scranton, PA 18510
Phone (570) 207-7919

329 Cherry St
Scranton, PA 18505
Phone (570) 348-6100

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1730747858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 RIDGE AVE APT 4",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON AVE STE 1000",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053814",
            "telephone_number": "570-230-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Jermyn",
            "state": "PA",
            "postal_code": "184331121",
            "country_code": "US",
            "telephone_number": "570-230-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRICK",
        "first_name": "JACOB",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD476294",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT217805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.