Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Richard Minnick, PHD

Individual provider Psychologist · NPI 1043889728

Dr. Mark Richard Minnick, PHD is a Psychologist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

620 Erie Blvd W
Syracuse, NY 13204-2445
Phone: (315) 425-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 024286 (NY)

Record details

NPI number1043889728
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

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