Active NPI
Joel Szkrybalo, PH.D.
- Clinical Psychologist
- Pennington, NJ
National Provider Identifier
1154580595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SI003943
- Practice address
- 100 Straube Center Blvd
Box H-1
Pennington, NJ 08534-1447 - Phone
- (609) 737-7797
- Fax
- (609) 737-7499
- NPI assigned
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | SI003943 | NJ | Primary |
Addresses
Primary practice location
100 Straube Center Blvd
Box H-1
Pennington, NJ 08534-1447
Mailing address
100 Straube Center Blvd
Box H-1
Pennington, NJ 08534-1447
Phone (609) 737-7797
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI003943 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woods Psychotherapy Services LLC | Clinical | Past | Accepting new patients |
| Woods Psychotherapy Services, LLC | Past | Accepting new patients |
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
- Pennington, NJ
- NPI 1790730901
-
- Clinical Social Worker
- Pennington, NJ
- NPI 1841243854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1154580595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STRAUBE CENTER BLVD",
"address_2": "BOX H-1",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085341447",
"telephone_number": "609-737-7797",
"fax_number": "609-737-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STRAUBE CENTER BLVD",
"address_2": "BOX H-1",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085341447",
"telephone_number": "609-737-7797",
"fax_number": "609-737-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZKRYBALO",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "SI003943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.