Kenneth Mark Sossin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007858 Issued in NY

Practice address

1893 Stewart Ave
New Hyde Park, NY 11040-1623

Phone

(516) 326-2401

Fax

(516) 326-6973

NPI assigned

Aug 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Dr. K Mark Sossin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• K Mark Sossin PHD & Jan Charone-Sossin PHD, Clinical Psychologists PC

  • Adolescent and Children Mental Health Clinic/Center
  • New Hyde Park, NY
  • NPI 1629593298
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1861917437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 STEWART AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401623",
            "telephone_number": "516-326-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 STEWART AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401623",
            "telephone_number": "516-326-2401",
            "fax_number": "516-326-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSSIN",
        "first_name": "KENNETH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007858",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSED PSYCHOLOGIST",
            "identifier": "007858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K",
            "last_name": "SOSSIN",
            "middle_name": "MARK",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Simone Sooman, WHNP
• Alexander Sorin, M.D.
• Sorkins RX LTD
• Gayle Elizabeth Sorrentino, MS, CCC-SLP
• Aniela Sosnowski, MD
• Kadiatou Sow, P.A
• Sowell Chiropractic PC
• Stefanie Spain, MA, CCC-SLP
• Lauren Sheri Sparber, M.D.
• Andrea M Spatarella, NURSE PRACTITIONER

• Psychologist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.