Individual provider Active NPI

Ronald Jason Styka, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1972045904
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021946-1 Issued in NY
Practice address
19 W 45TH St FRNT B
Suite 705
New York, NY 10036
Phone
(347) 974-0936
NPI assigned
Nov 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 021946-1 NY Primary

Addresses

Primary practice location

19 W 45TH St FRNT B
Suite 705
New York, NY 10036

Mailing address

19 W 45TH St FRNT B
Suite 705
New York, NY 10036-4907
Phone (347) 974-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 15, 2021 through Jul 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
021946-1NYMDClinical Psychologist
021946NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychotherapy LCSW PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1972045904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 45TH ST FRNT B",
            "address_2": "SUITE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364907",
            "telephone_number": "347-974-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 45TH ST FRNT B",
            "address_2": "SUITE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10036",
            "telephone_number": "347-974-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYKA",
        "first_name": "RONALD",
        "middle_name": "JASON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021946-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.