Active NPI
Ryan Sliwak
- Psychologist
- Boston, MA
National Provider Identifier
1326887423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1 Constitution PLZ
Boston, MA 02129-2025 - Phone
- (617) 724-5202
- NPI assigned
- May 20, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1 Constitution PLZ
Boston, MA 02129-2025
Mailing address
344 Commonwealth Ave Apt 4F
Boston, MA 02115-2152
Phone (516) 242-6227
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1326887423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 COMMONWEALTH AVE APT 4F",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152152",
"telephone_number": "516-242-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CONSTITUTION PLZ",
"city": "BOSTON",
"state": "MA",
"postal_code": "021292025",
"telephone_number": "617-724-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLIWAK",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-20",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.