Individual provider Active NPI

Jonathan Paul Slyker I, PHD

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1811973761
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
D10334 Issued in NY
Practice address
779 Carroll St
Brooklyn, NY 11215-1402
Phone
(845) 987-0471
NPI assigned
Dec 21, 2005
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D10334NYMDPsychologist
010334NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.