Individual provider Active NPI

Jody Sysler, PH.D.

  • Clinical Psychologist
  • Langhorne, PA
National Provider Identifier
1154593218
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015105 Issued in PA
Practice address
1701 Langhorne Newtown Rd
Victorian Commons
Langhorne, PA 19047-1003
Phone
(215) 968-5908
Fax
(215) 579-9469
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015105 PA Primary

Addresses

Primary practice location

1701 Langhorne Newtown Rd
Victorian Commons
Langhorne, PA 19047-1003

Mailing address

509 Coachwood CT
Newtown, PA 18940-4203
Phone (215) 968-5908

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

LicenseStateTypeSpecialty
PS015105PAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1154593218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 COACHWOOD CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189404203",
            "telephone_number": "215-968-5908",
            "fax_number": "215-579-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LANGHORNE NEWTOWN RD",
            "address_2": "VICTORIAN COMMONS",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471003",
            "telephone_number": "215-968-5908",
            "fax_number": "215-579-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYSLER",
        "first_name": "JODY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.