Active NPI
Jonathan Paul Slyker I, PHD
- Psychologist
- Brooklyn, NY
National Provider Identifier
1811973761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- D10334
- Practice address
- 779 Carroll St
Brooklyn, NY 11215-1402 - Phone
- (845) 987-0471
- NPI assigned
- Dec 21, 2005
- Last updated
- Sep 7, 2012
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | D10334 | NY | Primary |
Addresses
Primary practice location
779 Carroll St
Brooklyn, NY 11215-1402
Mailing address
5 Union St
Montclair, NJ 07042-3303
Phone (973) 509-1480
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 |
|---|---|---|---|
| D10334 | NY | MD | Psychologist |
| 010334 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerald Tramontano Senior Care Residential and Community Program | Past | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Downstate Health Physicians
- Neurology Physician
- Brooklyn, NY
- NPI 1477500916
-
- Mental Illness Community Based Residential Treatment Facility
- Mount Arlington, NJ
- NPI 1396894416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1811973761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 UNION ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423303",
"telephone_number": "973-509-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 CARROLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151402",
"telephone_number": "845-987-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLYKER",
"first_name": "JONATHAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "D10334",
"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 Sep 7, 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.