Active NPI
Adam Joncich, PH. D
- Psychologist
- New York, NY
National Provider Identifier
1902298011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 020761
- Practice address
- 110 E 30TH St Ste 503
New York, NY 10016-7393 - Phone
- (917) 880-8723
- NPI assigned
- Feb 26, 2015
- Last updated
- Sep 6, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 020761 | NY | Primary |
Addresses
Primary practice location
110 E 30TH St Ste 503
New York, NY 10016-7393
Mailing address
110 E 30TH St Ste 503
New York, NY 10016-7393
Phone (917) 880-8723
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corestory Psychology Services PC | Current | Accepting new patients |
Locations
110 E 30th St
Ste 503
New York, NY 10016
Phone (347) 746-4452
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, 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": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1902298011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 30TH ST STE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167393",
"telephone_number": "917-880-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 30TH ST STE 503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167393",
"telephone_number": "917-880-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONCICH",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-26",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "020761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.