Individual provider Active NPI

Andrew Savicky, PHD

  • Psychologist
  • Blackwood, NJ
National Provider Identifier
1942455639
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00267000 Issued in NJ
Practice address
20 N Woodbury Turnersville Rd
Blackwood, NJ 08012-2888
Phone
(856) 374-6847
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00267000 NJ Primary

Addresses

Primary practice location

20 N Woodbury Turnersville Rd
Blackwood, NJ 08012-2888

Mailing address

20 N Woodbury Turnersville Rd
Blackwood, NJ 08012-2888
Phone (856) 374-6847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00267000NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Camden County Health Services Center PastSince Jun 30, 2008 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1942455639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N WOODBURY TURNERSVILLE RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122888",
            "telephone_number": "856-374-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WOODBURY TURNERSVILLE RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122888",
            "telephone_number": "856-374-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVICKY",
        "first_name": "ANDREW",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00267000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.