Neil J Skolnick, NEIL SKOLNICK, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6836-1 Issued in NY

Practice address

135 W 75TH St # 1R
New York, NY 10023-1835

Phone

(212) 362-2569

NPI assigned

Apr 10, 2009

Last updated

Apr 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 23, 2016 through May 23, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1558504290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 75TH ST # 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231835",
            "telephone_number": "212-362-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 75TH ST # 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231835",
            "telephone_number": "212-362-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLNICK",
        "first_name": "NEIL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "NEIL SKOLNICK, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6836-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam H Skolnick, M.D.
• Amelia Skolnick, LCSW
• Elena Esther Skolnick, PH.D. PSYCHOLOGIST
• Jill Skolnick, CASAC
• Lauren E Skolnick
• Rebecca Bromberg Skolnick, PHD
• Sophia L Skolnick, MS, OTR
• Edward Y. Skolnik, M.D.
• Karen Skolnik, MPT
• Richard A Skolnik, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.