Individual provider Active NPI

Susan McTernan, PMH NP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somers, NY
National Provider Identifier
1043655905
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401566-1 Issued in NY
Practice address
29 Carolyn Way
Somers, NY 10589-2622
Phone
(914) 562-1731
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401566-1 NY Primary

Addresses

Primary practice location

29 Carolyn Way
Somers, NY 10589-2622

Mailing address

29 Carolyn Way
Somers, NY 10589-2622
Phone (914) 562-1731

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F401566-1NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1043655905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CAROLYN WAY",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892622",
            "telephone_number": "914-562-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CAROLYN WAY",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892622",
            "telephone_number": "914-562-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTERNAN",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "PMH NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.