Individual provider Active NPI

John J Szlyk, M.D.

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1811058514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36910 Issued in MA
Practice address
Umum Provident
18 Chestnut Street
Worcester, MA 01603
Phone
(774) 437-7214
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 36910 MA Primary

Addresses

Primary practice location

Umum Provident
18 Chestnut Street
Worcester, MA 01603

Mailing address

158 Walnut Hill Rd
Chestnut Hill, MA 02467-3157
Phone (774) 437-7214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8037NHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Psychological Associates, PA PastSince Apr 3, 2001 Accepting new patients

Organizations & group practices 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811058514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WALNUT HILL RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673157",
            "telephone_number": "774-437-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UMUM PROVIDENT",
            "address_2": "18 CHESTNUT STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01603",
            "telephone_number": "774-437-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZLYK",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "36910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.