Jessica Sevecke, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018164 Issued in PA

Practice address

531 Mt Pleasant Dr
Scranton, PA 18503-1987

Phone

(570) 271-6516

NPI assigned

Oct 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: jsevecke126655@direct.geisinger.edu

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1992255194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MT PLEASANT DR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031987",
            "telephone_number": "570-271-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVECKE",
        "first_name": "JESSICA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsevecke126655@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "531 Mt Pleasant Dr",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185031987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsevecke126655@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "531 Mt Pleasant Dr",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185031987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber L Seniuk, MSW, LSW
• Katelyn Ann Seprish
• Sarah Serkosky
• Ankit Sethi, M.D.
• Nishant Sethi, M.D
• Gregg Anthony Severs, D.O.
• Judith Scott Severson, CRNP
• Aimee Renee Sewitsky, SLP
• Stephanie Seymour, MSW, LSW
• Samantha Shafer

• Psychologist in Scranton, PA
• Providers in Scranton, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.