JONATHAN CHARLES DYCKMAN (NPI# 1366081697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366081697 |
| Entity Type | Individual |
| Full Name | JONATHAN CHARLES DYCKMAN |
| Credential | PMHNP |
| Practice Address |
127 S Broadway Yonkers NY 10701-4006 |
| Practice Telephone | 8453922338 |
| Mailing Telephone | 9143787546 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
682002 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402902 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
127 S BROADWAY |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776278 | Nancy Johnstone-bradshaw | Nurse Anesthetist, Certified Registered | 127 S Broadway, Saint Joseph's Medical Center, Yonkers, NY 10701-4006 | 2005-08-09 |
| 1114547882 | Yufei Cao | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-04-22 |
| 1134757420 | Francois Antoine Legagneur Jr. | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-31 |
| 1396373254 | Arthur Kalathara Simon | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-27 |
| 1427685965 | Catherine Robles Bautista | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-25 |
| 1356978662 | Shoaib Syed Qadri | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-25 |
| 1487281788 | Bashir A Bahram | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-25 |
| 1437786399 | Perla Mariel Pineda | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-23 |
| 1376170241 | Catherine Fernandez Aristy | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-23 |
| 1336776178 | Carlos Roberto Herrera | Student in an Organized Health Care Education/Training Program | 127 S Broadway, Yonkers, NY 10701-4006 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409386 | Lisa Novak, Nurse Practitioner In Psychiatry, Pllc | Nurse Practitioner | 35 E Grassy Sprain Rd Ste 3ll, Yonkers, NY 10710-4621 | 2017-10-24 |
| 1265778252 | Ese Peter Abohwo | Nurse Practitioner | 91 Mclean Ave, Yonkers, NY 10705-2481 | 2012-12-18 |
| 1235292947 | Margaret Kathleen Okeeffe | Nurse Practitioner | 78 Stratton St S, Yonkers, NY 10701-5969 | 2006-12-18 |
| 1174169932 | Patois Republic LLC | Nurse Practitioner | 909 Midland Ave, Yonkers, NY 10704-1092 | 2019-11-26 |
| 1730691221 | Jairo Cordero | Nurse Practitioner | 2 Park Ave, Yonkers, NY 10703-3402 | 2017-10-25 |
| 1144686700 | Lorraine M. Congdon | Nurse Practitioner | 487 S Broadway # 220, C/o Wjcs, Yonkers, NY 10705-3269 | 2016-01-12 |
| 1003290362 | Melissa Martyn | Nurse Practitioner | 20 S Broadway, Mha 11th Floor, Yonkers, NY 10701-3713 | 2015-07-16 |
| 1376801175 | Audra Elyse Mendes | Nurse Practitioner | 73 Market St, Yonkers, NY 10710-7616 | 2012-04-30 |
| 1124329537 | Lisa Novak | Nurse Practitioner | 35 E Grassy Sprain Rd, Ste 3ll, Yonkers, NY 10710-4621 | 2010-11-16 |
| 1427288240 | Becky Dunza Jordan | Nurse Practitioner | 73 Market St, Yonkers, NY 10710 | 2009-07-15 |
| Find all providers in YONKERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.