Organization Active NPI

Justus Mental Health PLLC

  • Psychiatry Physician
  • Media, PA
National Provider Identifier
1720732647
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JUSTUS MENTAL HEALTH PLLC
Practice address
24 Veterans SQ
Media, PA 19063-3155
Phone
(610) 705-7520
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Dr. Sherry Nykiel, MDNPI 1932236361
Title
Owner and Chief Medical Officer
Phone
(610) 705-7520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X

Addresses

Primary practice location

24 Veterans SQ
Media, PA 19063-3155

Mailing address

24 Veterans SQ
Media, PA 19063-3155
Phone (610) 705-7520

National Provider Directory

National Provider Directory

Locations

24 Veterans Sq
Media, PA 19063
Phone (610) 705-7520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1720732647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VETERANS SQ",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633155",
            "telephone_number": "610-705-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VETERANS SQ",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633155",
            "telephone_number": "610-705-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTUS MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "NYKIEL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER AND CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "610-705-7520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.