DR. MARK RICHARD MINNICK PH.D.
NPI 1043889728
Psychologist in Syracuse, NY

Active since June 17, 2021
620 ERIE BLVD W, SYRACUSE, NY 13204(315) 425-4400 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Richard Minnick Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK RICHARD MINNICK PH.D. (NPI 1043889728) is an individual psychologist in Syracuse, New York, licensed in New York (024286) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1043889728
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARK RICHARD MINNICKCredential: PH.D.
Location Address620 ERIE BLVD WSyracuse, NY 13204-2445
Mailing Address800 Irving AveSyracuse, NY 13210-2716 · (315) 425-4400
Sole ProprietorNo
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
NPI 1043889728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 024286
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

620 ERIE BLVD W, Syracuse, NY 13204

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
620 ERIE BLVD W, SUITE 208
SYRACUSE, NY 13204
Social Worker (Clinical)
620 ERIE BLVD W
SYRACUSE, NY 13204
Counselor (Mental Health)
620 ERIE BLVD W
SYRACUSE, NY 13204
Registered Nurse (Community Health)
620 ERIE BLVD W
SYRACUSE, NY 13204
Nurse Practitioner (Psychiatric/Mental Health)
620 ERIE BLVD W, SUITE 204
SYRACUSE, NY 13204
Psychologist
620 ERIE BLVD W
SYRACUSE, NY 13204
Social Worker
620 ERIE BLVD W
SYRACUSE, NY 13204
Social Worker
620 ERIE BLVD W
SYRACUSE, NY 13204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Minnick's NPI number?

The NPI number for Mark Minnick is 1043889728. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Mark Minnick located?

Mark Minnick practices at 620 Erie Blvd W, Syracuse, NY 13204. The listed phone number is (315) 425-4400.

What is Mark Minnick's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mark Minnick was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.