Jonathan Leigh Sulkin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010910 Issued in NY

Practice address

23 Conver Dr
Saratoga Springs, NY 12866

Phone

(518) 580-9863

Fax

(518) 580-9057

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 20, 2016 through Jan 20, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• River Bend Psychological Services, PC

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1568622785
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922098953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CONVER DR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-580-9863",
            "fax_number": "518-580-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CONVER DR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-580-9863",
            "fax_number": "518-580-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULKIN",
        "first_name": "JONATHAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01627729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Christine Strazzi
• Wayne Caleb Strong, PHARMD RPH
• Jared Stuttle
• Xiao Su, M.D, PH.D.
• Sue a Elliot LCSW PLLC
• Carrie E Sullivan, LMHC
• Daniel Jacob Sullivan, PMHNP
• William Martin Sullivan, DDS
• Richard J. Sweeney, D.C.
• William Switts, DDS

• Clinical Psychologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.