NPIMap

Organization Active NPI

Saxon Psychiatric Services P.C.

  • Psychiatry Physician
  • Kingston, PA
National Provider Identifier
1861579203
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS008157L Issued in PA
Legal business name
SAXON PSYCHIATRIC SERVICES P.C.
Practice address
480 Pierce Street
Suite 212
Kingston, PA 18704
Phone
(570) 718-1996
Fax
(570) 718-1997
NPI assigned
Nov 1, 2006
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Mark J Saxon, DONPI 1255389326
Title
Owner
Phone
(570) 718-1996

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS008157L PA Primary

Addresses

Primary practice location

480 Pierce Street
Suite 212
Kingston, PA 18704

Mailing address

480 Pierce Street
Suite 212
Kingston, PA 18704
Phone (570) 718-1996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000609 PA Part B Supplier - Clinic/Group Practice 4587828363 Receives reassigned benefits from 8 practitioners
Practice locations: West Wyoming, PA

National Provider Directory

National Provider Directory

Locations

480 Pierce St
Ste 212
Kingston, PA 18704
Phone (570) 357-7079

1425 Shoemaker Ave
Wyoming, PA 18644
Phone (570) 718-1996

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1861579203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PIERCE STREET",
            "address_2": "SUITE 212",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-718-1996",
            "fax_number": "570-718-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE STREET",
            "address_2": "SUITE 212",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-718-1996",
            "fax_number": "570-718-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAXON PSYCHIATRIC SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "SAXON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-718-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS008157L",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.