JACQUELINE K KRYCHIW PH.D.
NPI 1609546167
Psychologist in Great Neck, NY

Active since September 16, 2021Opted out of Medicare · through Apr 7, 2027
60 CUTTERMILL RD, GREAT NECK, NY 11021(516) 858-4328 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline K Krychiw Ph.d. NPPES

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

JACQUELINE K KRYCHIW PH.D. (NPI 1609546167) is an individual psychologist in Great Neck, New York and active in the NPI registry since September 2021. She has opted out of Medicare through April 7, 2027.

NPPES Registry Identity

NPI1609546167
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELINE K KRYCHIWCredential: PH.D.
Location Address60 CUTTERMILL RDGreat Neck, NY 11021-3131
Mailing Address168 Fulton St Apt 205Farmingdale, NY 11735-2565 · (908) 427-1226
Sole ProprietorNo
Enumeration DateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
NPI 1609546167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

60 CUTTERMILL RD, Great Neck, NY 11021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacqueline K Krychiw Ph.d. 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 April 7, 2023 through April 7, 2027.

Opt-Out Effective DateApril 7, 2023
Opt-Out In Effect ThroughApril 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Specialist
60 CUTTERMILL RD, 507
GREAT NECK, NY 11021
Specialist
60 CUTTERMILL RD, 507
GREAT NECK, NY 11021
Psychologist (Clinical)
60 CUTTERMILL RD
GREAT NECK, NY 11021

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 Jacqueline Krychiw's NPI number?

The NPI number for Jacqueline Krychiw is 1609546167. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Jacqueline Krychiw located?

Jacqueline Krychiw practices at 60 Cuttermill Rd, Great Neck, NY 11021. The listed phone number is (516) 858-4328.

What is Jacqueline Krychiw's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jacqueline Krychiw enrolled in Medicare?

No. Jacqueline Krychiw has opted out of Medicare through April 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacqueline Krychiw was last updated on September 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.