Organization Active NPI

Dr. JM Da Silva Psychologist PC

  • Health Service Clinic/Center
  • New York, NY
National Provider Identifier
1255774766
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
018633-1 Issued in NY
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. JM DA SILVA PSYCHOLOGIST PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
S18633-8WOtherNYWORKER'S COMPENSATION, NON-FAULT

Other names 1

  • DR. JM DA SILVA PSYCHOLOGIST PC Doing business as

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.

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"
        }
    ]
}

Other providers in New York, NY

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.

Verify at the official NPI Registry.