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

Dr. Mark Vincent Versella Jr., PHD

Individual provider Health Service Psychologist · NPI 1568180958

Dr. Mark Vincent Versella Jr., PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Rutgers Health-Pcc Monument Square, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
5
Licensed in
NJ, PA
In the registry since
2022
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1215 Wharton St
Philadelphia, PA 19147-4509
Phone: (215) 948-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 317 George St, New Brunswick, NJ 08901-2008 — (732) 235-8993

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 35SI00687800 (NJ)
Health Service Psychologist Taxonomy 103TH0100X · Licence 35SI00687800 (NJ)
Health Service Psychologist Taxonomy 103TH0100X · Licence PS019662 (PA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PS019662 (PA)

Record details

NPI number1568180958
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rutgers Health-Pcc Monument Square — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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