Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Charles Dyckman, PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1366081697

Jonathan Charles Dyckman, PMHNP is a Nurse Practitioner in Yonkers, New York. Qualified in 2020, 6 years ago. Practices with Carmel Psychological Health PC, a 213-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

127 S Broadway
Yonkers, NY 10701-4006
Phone: (845) 392-2338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402902 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 682002 (NY)

Record details

NPI number1366081697
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Carmel Psychological Health Pc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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