Active NPI
Jonathan Myrtil, MD
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- TRN24324
- Practice address
- 109 W 27TH St RM 5S
New York, NY 10001-6208 - Phone
- (917) 634-5311
- NPI assigned
- Apr 7, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TRN24324 | FL | Primary |
Addresses
Primary practice location
109 W 27TH St RM 5S
New York, NY 10001-6208
Mailing address
1301 Riverplace Blvd
Jacksonville, FL 32207-9047
Phone (321) 300-2108
Other practice location 1
101 N Monroe St Ste 800
Tallahassee, FL 32301-1500
Phone (321) 300-2108
Other practice location 2
15000 Weston Pkwy
Cary, NC 27513-2118
Phone (919) 925-3927
Other practice location 3
300 Colonial Center Pkwy Ste 100
Roswell, GA 30076-4892
Phone (470) 670-6319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Riverplace Blvd
Suite 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255
300 Colonial Ctr Pkwy
Roswell, GA 30076-4899
Phone (833) 351-8255
555 Fayetteville St
Suite 201
Raleigh, NC 27601-3034
Phone (833) 351-8255
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN24324 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108
300 Colonial Center Pkwy
Ofc 12
Roswell, GA 30076
Phone (833) 351-1825
10 Glenlake Pkwy
Ste 130
Sandy Springs, GA 30328
Phone (678) 230-7095
555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1669905451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 RIVERPLACE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322079047",
"telephone_number": "321-300-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "917-634-5311"
}
],
"practiceLocations": [
{
"address_1": "101 N Monroe St Ste 800",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323011500",
"country_code": "US",
"telephone_number": "321-300-2108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15000 Weston Pkwy",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275132118",
"country_code": "US",
"telephone_number": "919-925-3927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Colonial Center Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300764892",
"country_code": "US",
"telephone_number": "470-670-6319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYRTIL",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "TRN24324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.