Active NPI
Mardie Sheiken, PSY.D.
- School Psychologist
- Brooklyn, NY
National Provider Identifier
1659609030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 31173603
- Practice address
- 1584 E 66TH St
Brooklyn, NY 11234-6006 - Phone
- (917) 750-6536
- Fax
- (718) 616-0792
- NPI assigned
- Nov 24, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 31173603 | NY | Primary |
Addresses
Primary practice location
1584 E 66TH St
Brooklyn, NY 11234-6006
Mailing address
1584 E 66TH St
Brooklyn, NY 11234-6006
Phone (917) 750-6536
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 |
|---|---|---|---|
| 31173603 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1659609030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1584 E 66TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346006",
"telephone_number": "917-750-6536",
"fax_number": "718-616-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 E 66TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346006",
"telephone_number": "917-750-6536",
"fax_number": "718-616-0792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIKEN",
"first_name": "MARDIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-24",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "31173603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.