Sushama U. Kirtikar, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH2873 Issued in FL

Practice address

16120 N Florida Ave
Lutz, FL 33549-6129

Phone

(813) 264-7114

Fax

(813) 961-1388

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043378102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 CLOVERLAWN DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241188",
            "telephone_number": "813-960-2470",
            "fax_number": "813-264-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-264-7114",
            "fax_number": "813-961-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTIKAR",
        "first_name": "SUSHAMA",
        "middle_name": "U.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae Hyun Kim, MD
• Michael Rhea King, MD
• Vicky A King, MS ATC LAT
• Hailee Kinley
• Maegan Kirst, OTR/L
• Shona Kistner
• Tajhah Kittling
• Jennifer Kittredge
• Kristen Klabacha, FNP
• Ernst Markus Klaus, MB.CHB., FRCPC RHEUM

• Mental Health Counselor in Lutz, FL
• Providers in Lutz, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.