Active NPIIndividual provider

Jonathan C Dyckman, PMHNP

Nurse Practitioner, Psych/Mental Health in Yonkers, New York

NPI Number1366081697
Practice location
127 S Broadway, Yonkers, NY 10701-4006
Fax
—
Last updated
May 13, 2020

Jonathan Charles Dyckman is a Nurse Practitioner, Psych/Mental Health based in Yonkers, NY. Jonathan Charles Dyckman practices in Yonkers, NY and has the professional credentials of PMHNP. The NPI Number for Jonathan Charles Dyckman is 1366081697 and holds a License No. 682002 (NY). The current practice location address for Jonathan Charles Dyckman is 127 S Broadway, Yonkers, NY 10701-4006 and can be reached out via phone at 845-392-2338.

Provider Profile Details

NPI Number
1366081697
Provider Name
Jonathan Charles Dyckman
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
127 S Broadway, Yonkers, NY 10701-4006
Phone Number
845-392-2338
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2020
Last Update Date
May 13, 2020
Certification Date
May 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 S Broadway
Yonkers, NY 10701-4006
Zip
10701-4006
Phone Number
845-392-2338
Yonkers, NY 10701Get directions →

Provider Business Mailing Address Details

Address
127 S Broadway
Yonkers, NY 10701-4006
City
Yonkers
State
NY
Zip
10701-4006
Phone Number
914-378-7546

License Information

License Number (1)
682002
License State (1)
NY
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
402902
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jonathan C Dyckman, PMHNP?

The NPI number of Jonathan C Dyckman, PMHNP is 1366081697. It was assigned on January 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Jonathan C Dyckman, PMHNP?

Jonathan C Dyckman, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 682002.

Where does Jonathan C Dyckman, PMHNP practice?

The practice location is 127 S Broadway, Yonkers, NY 10701-4006. The office can be reached at 845-392-2338 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366081697 directly on the NPPES registry website.

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