Active NPI
Sherry A Nykiel, MD
- Psychiatry Physician
- Media, PA
National Provider Identifier
1932236361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD458696
- Practice address
- 24 Veterans SQ
Media, PA 19063-3155 - Phone
- (610) 705-7520
- NPI assigned
- Feb 27, 2007
- Last updated
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C1-001-2743 | DE | |
| Psychiatry Physician | 2084P0800X | 231847 | MA | |
| Psychiatry Physician | 2084P0800X | MD458696 | PA | Primary |
Addresses
Primary practice location
24 Veterans SQ
Media, PA 19063-3155
Mailing address
24 Veterans SQ
Media, PA 19063-3155
Phone (610) 705-7520
Other practice location 1
5000 Hilltop Dr
Brookhaven, PA 19015-1228
Phone (617) 947-7434
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-001-2743 | DE | MD | Psychiatry Physician |
| MD458696 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justus Mental Health PLLC | Psychiatry | Current | Accepting new patients |
| Boston University Psychiatry Associates, Inc. | Psychiatry | Past | Accepting new patients |
Locations
24 Veterans Sq
Media, PA 19063
Phone (610) 705-7520
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.
-
- Psychiatry Physician
- Media, PA
- NPI 1720732647
-
- Psychiatry Physician
- Boston, MA
- NPI 1073619854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1932236361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 VETERANS SQ",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633155",
"telephone_number": "610-705-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 VETERANS SQ",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633155",
"telephone_number": "610-705-7520"
}
],
"practiceLocations": [
{
"address_1": "5000 Hilltop Dr",
"address_purpose": "LOCATION",
"city": "Brookhaven",
"state": "PA",
"postal_code": "190151228",
"country_code": "US",
"telephone_number": "617-947-7434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYKIEL",
"first_name": "SHERRY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-001-2743",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "231847",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD458696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.