MR. JONATHAN FISKUS PSYD
NPI 1104235738
Psychologist - Clinical in Brooklyn, NY

Q: What is Jonathan Fiskus's NPI number?

The NPI number for Jonathan Fiskus is 1104235738. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Q: What is Jonathan Fiskus's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jonathan Fiskus enrolled in Medicare?

No. Jonathan Fiskus has opted out of Medicare through March 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Fiskus was last updated on July 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 07, 2014Opted out of Medicare · through Mar 18, 2028

1623 KINGS HWY, BROOKLYN, NY 11229(718) 375-1200 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Jonathan Fiskus Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN FISKUS PSYD (NPI 1104235738) is an individual clinical provider in Brooklyn, New York, licensed in New York (023153) and active in the NPI registry since August 2014. He has opted out of Medicare through March 18, 2028.

NPPES Registry Identity

NPI1104235738

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JONATHAN FISKUSCredential: PSYD

Location Address1623 KINGS HWYBrooklyn, NY 11229-1209

Mailing Address1623 Kings HwyBrooklyn, NY 11229-1209 · (718) 375-1200

Phone(718) 375-1200

Sole ProprietorNo

Enumeration DateAugust 7, 2014

Last NPPES UpdateJuly 15, 2019

✔ NPI 1104235738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 023153

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1623 KINGS HWY, Brooklyn, NY 11229

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jonathan Fiskus Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2026 through March 18, 2028.

Opt-Out Effective DateMarch 18, 2026

Opt-Out In Effect ThroughMarch 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET VALD LMSW

Social Worker

1623 KINGS HWY, 3RD FL
BROOKLYN, NY 11229

Kings County (718) 375-1200

ELISSA HAIES LCSW

Social Worker (Clinical)

1623 KINGS HWY, 4TH FLOOR SUITE 404
BROOKLYN, NY 11229

Kings County (718) 375-1200

LIAT ZITRON

Counselor (Mental Health)