Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK VINCENT VERSELLA JR. PH.D.
NPI 1568180958
Psychologist - Cognitive & Behavioral in Philadelphia, PA

Q: What is Mark Versella's NPI number?

The NPI number for Mark Versella is 1568180958. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Mark Versella's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Mark Versella was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

1215 WHARTON ST, PHILADELPHIA, PA 19147(215) 948-2750 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2026, May 17, 2024, Aug 22, 2022 (3 updates tracked since 2022).

On this page

About Dr. Mark Vincent Versella Jr. Ph.d. NPPES

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

DR. MARK VINCENT VERSELLA JR. PH.D. (NPI 1568180958) is an individual cognitive & behavioral provider in Philadelphia, Pennsylvania, licensed in New Jersey (35SI00687800) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568180958

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameDR. MARK VINCENT VERSELLA JR.Credential: PH.D.

Location Address1215 WHARTON STPhiladelphia, PA 19147-4509

Mailing Address1215 Wharton StPhiladelphia, PA 19147-4509 · (215) 948-2750

Phone(215) 948-2750

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 22, 2022

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1568180958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

Licenses✔ Licensed in NJ · 35SI00687800✔ Licensed in PA · PS019662

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 35SI00687800 (NJ), PS019662 (PA)

1215 WHARTON ST, Philadelphia, PA 19147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Vincent Versella Jr. Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375912074

PECOS Enrollment IDI20221219001813

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

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 Versella's NPI number?

The NPI number for Mark Versella is 1568180958. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Mark Versella located?

Mark Versella practices at 1215 Wharton St, Philadelphia, PA 19147. The listed phone number is (215) 948-2750.

What is Mark Versella's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Mark Versella enrolled in Medicare?

Yes. Mark Versella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Versella accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mark Versella as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Versella was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.