Mark Sykes

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00579000 Issued in NJ

Practice address

545 Island Rd Ste 2B
Ramsey, NJ 07446-2822

Phone

(201) 995-1004

NPI assigned

Nov 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  NPD
• Medpsych Associates of New Jersey LLC

  • Mental Health Counselor
  • Ramsey, NJ
  • NPI 1649718685
  NPD (past)

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1174075345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ISLAND RD STE 2B",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462822",
            "telephone_number": "201-995-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ISLAND RD STE 2B",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462822",
            "telephone_number": "201-995-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Columbia Tpke",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079321209",
            "country_code": "US",
            "telephone_number": "973-593-0090 x401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00579000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Staunton, NP-C
• Peter Stern, M.D.
• Summit Medical Group PA
• Summit Psychotherapy and Wellness Center LLC
• Purushotham N Surapaneni, MD
• Synaptic Health Rehabilitation & Medicine PC
• Jordan Szabo, LSW
• Jonathan Tamarov, RPH
• Andrea Tan, MD
• Erika Ann Taylor, LCSW

• Clinical Psychologist in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.