Active NPIIndividual provider

Dr. Mark S Konecky, PHD

Psychologist, Clinical in Gloucester, Massachusetts

NPI Number1952458150
Practice location
6 Hodgkins St, Gloucester, MA 01930-1815
Fax
978-283-0908
Last updated
July 8, 2007

Mark Stanley Konecky is a Psychologist, Clinical based in Gloucester, MA. Mark Stanley Konecky practices in Gloucester, MA and has the professional credentials of PHD. The NPI Number for Mark Stanley Konecky is 1952458150 and holds a License No. 7627 (MA). The current practice location address for Mark Stanley Konecky is 6 Hodgkins St, Gloucester, MA 01930-1815 and can be reached out via phone at 978-283-0333 and via fax at 978-283-0908.

Provider Profile Details

NPI Number
1952458150
Provider Name
Mark Stanley Konecky
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
6 Hodgkins St, Gloucester, MA 01930-1815
Phone Number
978-283-0333
Fax Number
978-283-0908
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Hodgkins St
Gloucester, MA 01930-1815
Zip
01930-1815
Phone Number
978-283-0333
Fax Number
978-283-0908
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
6 Hodgkins St
Gloucester, MA 01930-1815
City
Gloucester
State
MA
Zip
01930-1815
Phone Number
978-283-0333
Fax Number
978-283-0908

License Information

License Number
7627
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark S Konecky, PHD?

The NPI number of Dr. Mark S Konecky, PHD is 1952458150. It was assigned on January 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark S Konecky, PHD?

Dr. Mark S Konecky, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7627.

Where does Dr. Mark S Konecky, PHD practice?

The practice location is 6 Hodgkins St, Gloucester, MA 01930-1815. The office can be reached at 978-283-0333 (phone) or 978-283-0908 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952458150 directly on the NPPES registry website.

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