JACOB NYMAN PHD
NPI 1528636065
Psychologist - Clinical in New York, NY

Q: What is Jacob Nyman's NPI number?

The NPI number for Jacob Nyman is 1528636065. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Jacob Nyman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Nyman was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2021PECOS Enrolled

1000 10TH AVE, NEW YORK, NY 10019(212) 523-4000 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jacob Nyman Phd NPPES

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

JACOB NYMAN PHD (NPI 1528636065) is an individual clinical provider in New York, New York, licensed in New York (024300) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528636065

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJACOB NYMANCredential: PHD

Location Address1000 10TH AVENew York, NY 10019-1147

Mailing Address1090 Amsterdam Ave Ste 16fNew York, NY 10025-1737

Phone(212) 523-4000

Sole ProprietorYes

Enumeration DateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1528636065 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 · 024300

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.

1000 10TH AVE, New York, NY 10019

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Nyman Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Nyman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai

2.2 mi

Addiction Medicine

1425 MADISON AVE
New York, NY 10029

Reassigned Medicare billing, New York enrollment
385 clinicians in this Medicare group

NPI 1033482518 (212) 987-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LAUREN KRISTEN BOTERO MD

Internal Medicine (Hematology)

1000 10TH AVE
NEW YORK, NY 10019

New York County (212) 523-4000

JASMINE PARIS LORD MD

Student in an Organized Health Care Education/Training Program

1000 10TH AVE
NEW YORK, NY 10019

New York County (212) 523-6121

HOLLY D SHAN

Student in an Organized Health Care Education/Training Program

1000 10TH AVE
NEW YORK, NY 10019

New York County (212) 523-6121

RACHNA SULTANIAN MD

Emergency Medicine

1000 10TH AVE
NEW YORK, NY 10019

New York County (212) 523-6745

ANGELA TANGREDI MD

Pediatrics

1000 10TH AVE
NEW YORK, NY 10019

New York County (212) 523-6745

ALEXANDER VOLVOVSKY MD

Radiology (Diagnostic Radiology)

1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019

New York County (212) 536-6668

MISS JINCY THANKACHEN M.D.

Internal Medicine

1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019

New York County (212) 523-7321

SAMA ANSARI M.D.

Student in an Organized Health Care Education/Training Program

1000 10TH AVE
NEW YORK, NY 10019

New York County (212) 523-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Nyman's NPI number?

The NPI number for Jacob Nyman is 1528636065. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Jacob Nyman located?

Jacob Nyman practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-4000.

What is Jacob Nyman's specialty?

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

Is Jacob Nyman enrolled in Medicare?

Yes. Jacob Nyman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Nyman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Nyman reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Nyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Nyman was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.