Active NPI
Jessica Tylicki, PHD
- Clinical Psychologist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11524
- Practice address
- 7000 W Palmetto Park Rd Ste 201
Boca Raton, FL 33433-3430 - Phone
- (561) 732-2000
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY11524 | FL | |
| Psychologist | 103T00000X | PY11524 | FL | |
| Clinical Psychologist | 103TC0700X | PY11524 | FL | Primary |
Addresses
Primary practice location
7000 W Palmetto Park Rd Ste 201
Boca Raton, FL 33433-3430
Mailing address
1601 Clint Moore Rd Ste 120
Boca Raton, FL 33487-5712
Phone (561) 732-7000
Other practice location 1
1601 Clint Moore Rd Ste 120
Boca Raton, FL 33487-5712
Phone (561) 732-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11524 | FL | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Assessment Services, LLC | Clinical Neuropsychologist | Current | Accepting new patients |
| Different Like Me Inc | Past | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280
7000 W Palmetto Park Rd
Ste 201
Boca Raton, FL 33433
Phone (561) 270-2280
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Boca Raton, FL
- NPI 1710611868
Clinical Neuropsychologist
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1093915043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1104550490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD STE 120",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334875712",
"telephone_number": "561-732-7000",
"fax_number": "561-731-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333430",
"telephone_number": "561-732-2000"
}
],
"practiceLocations": [
{
"address_1": "1601 Clint Moore Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334875712",
"country_code": "US",
"telephone_number": "561-732-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLICKI",
"first_name": "JESSICA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY11524",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY11524",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.