Active NPI
Susan Klosiewicz, MS ED
- School Psychologist
- Cold Spring Harbor, NY
National Provider Identifier
1013557412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 82 Turkey LN
Cold Spring Harbor, NY 11724-1703 - Phone
- (631) 367-6840
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
82 Turkey LN
Cold Spring Harbor, NY 11724-1703
Mailing address
82 Turkey LN
Cold Spring Harbor, NY 11724-1703
Phone (631) 367-6840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1013557412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 TURKEY LN",
"city": "COLD SPRING HARBOR",
"state": "NY",
"postal_code": "117241703",
"telephone_number": "631-367-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 TURKEY LN",
"city": "COLD SPRING HARBOR",
"state": "NY",
"postal_code": "117241703",
"telephone_number": "631-367-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOSIEWICZ",
"first_name": "SUSAN",
"credential": "MS ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cold Spring Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.