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

Jacky Salomon Petion, DR

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700525854

Jacky Salomon Petion, DR practises Psychiatry in Brooklyn, New York. Qualified in 2025, 1 year ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
1
In the registry since
2022

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Brooklyn, NY

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700525854
Entity typeIndividual (Type 1)
GenderMale
Credentials DR
Sole proprietorYes
NPI enumeratedMay 27, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 14, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Interborough Developmental and Consultation Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 152 clinicians in the practice; 12 are shown here.

Other providers in Brooklyn