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Mark Minnick, PH.D.
NPI 1043889728 · Psychologist · Syracuse, NY
Mark Minnick, PH.D. is a Psychologist provider in Syracuse, NY (NPI 1043889728).
Provider details
- NPI number
- 1043889728
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 024286 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
620 Erie Blvd W
Syracuse, NY 13204-2445
Phone: (315) 425-4400
Street-level locationGet directions
Mailing address
800 Irving Ave
Syracuse, NY 13210-2716
Registry dates
- Enumerated
- 2021-06-17
- Last updated
- 2021-06-17
- Certified
- 2021-06-17
Frequently asked questions
- What is Mark Minnick's NPI number?
- Mark Minnick's National Provider Identifier (NPI) is 1043889728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Minnick's specialty?
- Mark Minnick is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mark Minnick located?
- Mark Minnick's practice location on file with NPPES is 620 Erie Blvd W, Syracuse, NY 13204-2445.
- What is Mark Minnick's phone number?
- The practice phone number listed in the NPPES registry for Mark Minnick is (315) 425-4400.
- Is Mark Minnick's NPI active?
- Yes — Mark Minnick's NPI (1043889728) is active in the NPPES registry as of the last update on 2021-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.