Individual provider Active NPI

Sherry A Nykiel, MD

  • Psychiatry Physician
  • Media, PA
National Provider Identifier
1932236361
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD458696 Issued in PA
Practice address
24 Veterans SQ
Media, PA 19063-3155
Phone
(610) 705-7520
NPI assigned
Feb 27, 2007
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C1-001-2743DEMDPsychiatry Physician
MD458696PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Justus Mental Health PLLC Psychiatry Current Accepting new patients
Boston University Psychiatry Associates, Inc. Psychiatry PastSince Aug 8, 1996 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.

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.

Verify at the official NPI Registry.