Active NPI
Dr. JM Da Silva Psychologist PC
- Health Service Clinic/Center
- New York, NY
National Provider Identifier
1255774766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 018633-1
- Legal business name
- DR. JM DA SILVA PSYCHOLOGIST PC
- Doing business as
- Dr. JM Da Silva Psychologist PC
- Practice address
- 68 Laight St Apt 7
New York, NY 10013-2049 - Phone
- (917) 903-5067
- Fax
- (212) 226-7380
- NPI assigned
- Apr 15, 2013
- Last updated
- Apr 15, 2013
- Organization subpart
- Yes
- Parent organization
- DR. JM DA SILVA PSYCHOLOGIST PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juraci M. Da Silva, PH.D
- Title
- Psychologist
- Phone
- (917) 903-5067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 018633-1 | NY | Primary |
Addresses
Primary practice location
68 Laight St Apt 7
New York, NY 10013-2049
Mailing address
68 Laight St Apt 7
New York, NY 10013-2049
Phone (917) 903-5067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S18633-8W | Other | NY | WORKER'S COMPENSATION, NON-FAULT |
Other names 1
- DR. JM DA SILVA PSYCHOLOGIST PC
National Provider Directory
National Provider Directory- Part of
- Dr JM Da Silva Psychologist
Locations
11835 Queens Blvd
Ste 446
Forest Hills, NY 11375
Phone (718) 425-4160
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bronx, NY
- NPI 1124101571
-
- Chiropractor
- Bronx, NY
- NPI 1548595754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365984000000",
"number": "1255774766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 LAIGHT ST APT 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100132049",
"telephone_number": "917-903-5067",
"fax_number": "212-226-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 LAIGHT ST APT 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100132049",
"telephone_number": "917-903-5067",
"fax_number": "212-226-7380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JM DA SILVA PSYCHOLOGIST PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DR. JM DA SILVA PSYCHOLOGIST PC",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A",
"authorized_official_last_name": "DA SILVA",
"authorized_official_first_name": "JURACI",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "917-903-5067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NY",
"license": "018633-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION, NON-FAULT",
"identifier": "S18633-8W",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DR. JM DA SILVA PSYCHOLOGIST PC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.