Individual provider Active NPI

Scott J Bloszinsky, PSY.D.

  • Clinical Psychologist
  • Bethlehem, PA
National Provider Identifier
1811985138
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015146 Issued in PA
Practice address
264 E Broad St
Bethlehem, PA 18018-6224
Phone
(610) 866-9311
Fax
(610) 882-2072
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015146 PA Primary

Addresses

Primary practice location

264 E Broad St
Bethlehem, PA 18018-6224

Mailing address

5035 Maranatha Way
Allentown, PA 18106-9307
Phone (610) 737-0777

Other identifiers 6

IdentifierTypeStateIssuer
2039500000OtherPAINDEPENDENCE BLUE CROSS
298535000OtherPAMAGELLAN BEHAVIORAL HEALT
7546297OtherPAAETNA
03158401OtherPACAPITAL BLUE CROSS
1346961OtherPAHIGHMARK
680014467OtherPARAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000101 PA Practitioner - Clinical Psychologist 6709901820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychology Associates of Bethlehem PCGroup PAC ID 5395724025, 3 clinicians

Practice addresses (Care Compare)

264 E Broad St
Bethlehem, PA 18018-6278
Phone (610) 866-9311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of Bethlehem, PC CurrentSince Jan 24, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15246/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1811985138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 MARANATHA WAY",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069307",
            "telephone_number": "610-737-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186224",
            "telephone_number": "610-866-9311",
            "fax_number": "610-882-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSZINSKY",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2039500000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "298535000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7546297",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03158401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1346961",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "680014467",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.