Active NPI
Sheryl Markulin, PSYD
- Psychologist
- Brick, NJ
National Provider Identifier
1356689947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100489100
- Practice address
- 1541 Route 88 W Ste G
Brick, NJ 08724-2373 - Phone
- (732) 267-5797
- NPI assigned
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 35S100489100 | NJ | |
| Psychologist | 103T00000X | 35S100489100 | NJ | Primary |
Addresses
Primary practice location
1541 Route 88 W Ste G
Brick, NJ 08724-2373
Mailing address
86 Club House Rd
Brick, NJ 08723-6769
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100489100 | NJ | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1356689947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 CLUB HOUSE RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 ROUTE 88 W STE G",
"city": "BRICK",
"state": "NJ",
"postal_code": "087242373",
"telephone_number": "732-267-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKULIN",
"first_name": "SHERYL",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NJ",
"license": "35S100489100",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100489100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.