Active NPI
Kelly M Sykes, PH.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1679778302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017178-1
- Practice address
- 32 Court St
Suite 705
Brooklyn, NY 11201-4421 - Phone
- (917) 355-2544
- Fax
- (347) 789-3025
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017178-1 | NY | Primary |
Addresses
Primary practice location
32 Court St
Suite 705
Brooklyn, NY 11201-4421
Mailing address
32 Court St
Suite 705
Brooklyn, NY 11201-4421
Phone (917) 355-2544
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017178-1 | NY | MD | Specialist |
| 017178 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benzaquen Psychological Services, PLLC | Clinical | Past | Accepting new patients |
| Che Senior Psychological Services, PC | Clinical | Past | Accepting new patients |
| Knapp Street Psychiatry, PC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1679778302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 COURT ST",
"address_2": "SUITE 705",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014421",
"telephone_number": "917-355-2544",
"fax_number": "347-789-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 COURT ST",
"address_2": "SUITE 705",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014421",
"telephone_number": "917-355-2544",
"fax_number": "347-789-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYKES",
"first_name": "KELLY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017178-1",
"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 Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.