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DR. MARK LEON LUCYK PH.D.
NPI 1386737450
Psychologist - Clinical in West Hartford, CT

Active since October 02, 2006Opted out of Medicare · through Jul 26, 2027
10 NORTH MAIN STREET, SUITE 204, WEST HARTFORD, CT 06107(860) 561-2400 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Leon Lucyk Ph.d. NPPES

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

DR. MARK LEON LUCYK PH.D. (NPI 1386737450) is an individual clinical provider in West Hartford, Connecticut, licensed in Connecticut (CT001405) and active in the NPI registry since October 2006. He has opted out of Medicare through July 26, 2027.

NPPES Registry Identity

NPI1386737450
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK LEON LUCYKCredential: PH.D.
Location Address10 NORTH MAIN STREET, SUITE 204West Hartford, CT 06107-1968
Mailing Address10 North Main Street, Suite 204West Hartford, CT 06107-1968 · (860) 561-2400
Phone(860) 561-2400
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 21, 2023
✔ NPI 1386737450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CT · CT001405✔ Licensed in CT · 1405CT01
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
10 NORTH MAIN STREET, West Hartford, CT 06107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark Leon Lucyk Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 26, 2023 through July 26, 2027.

Opt-Out Effective DateJuly 26, 2023
Opt-Out In Effect ThroughJuly 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

BALANCE CBT OF NEW ENGLAND, LLC
Psychologist (Clinical)
10 NORTH MAIN STREET, SUITE 303
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 792-4397
BARRY M ROSEN KRANZ MD PC
Psychiatry & Neurology (Psychiatry)
10 NORTH MAIN STREET, SUITE 309
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-1920
DINA N. WEIS, LLC
Psychologist (Clinical)
10 NORTH MAIN STREET, SUITE 204
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 347-9911
MS. RAE TATTENBAUM MSW
Social Worker (Clinical)
10 NORTH MAIN STREET, SUITE 300
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 561-5222
DR. BARRY M ROSENKRANZ MD
Psychiatry & Neurology (Psychiatry)
10 NORTH MAIN STREET, SUITE 309
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-1920

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 Lucyk's NPI number?

The NPI number for Mark Lucyk is 1386737450. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mark Lucyk located?

Mark Lucyk practices at 10 North Main Street Suite 204, West Hartford, CT 06107. The listed phone number is (860) 561-2400.

What is Mark Lucyk's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mark Lucyk enrolled in Medicare?

No. Mark Lucyk has opted out of Medicare through July 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mark Lucyk was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.