Organization Active NPI

Marguerite Mosack, PHD.

  • Psychologist
  • Kingston, PA
National Provider Identifier
1831582311
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MARGUERITE MOSACK, PHD.
Practice address
239 Schuyler Ave
Suite 350
Kingston, PA 18704-3336
Phone
(570) 283-5580
Fax
(570) 283-5583
NPI assigned
Mar 9, 2015
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Marguerite Mosack, PH.D.NPI 1780721605
Title
Psychologist/Owner
Phone
(570) 283-5580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X PA

Addresses

Primary practice location

239 Schuyler Ave
Suite 350
Kingston, PA 18704-3336

Mailing address

239 Schuyler Ave
Suite 350
Kingston, PA 18704-3336
Phone (570) 283-5580

Other identifiers 1

IdentifierTypeStateIssuer
01600625MedicaidPA

National Provider Directory

National Provider Directory

Locations

239 Schuyler Ave
Ste 350
Kingston, PA 18704
Phone (570) 283-5580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1831582311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SCHUYLER AVE",
            "address_2": "SUITE 350",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043336",
            "telephone_number": "570-283-5580",
            "fax_number": "570-283-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 SCHUYLER AVE",
            "address_2": "SUITE 350",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043336",
            "telephone_number": "570-283-5580",
            "fax_number": "570-283-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGUERITE MOSACK, PHD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "MOSACK",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "570-283-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01600625",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.