Susan Kulis, M.S.

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

000299 Issued in NY

Practice address

11109 76TH Rd
Suite E5
Forest Hills, NY 11375-6424

Phone

(718) 793-6963

NPI assigned

Mar 10, 2007

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 Science

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053443580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 TOWN WALK DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183733",
            "telephone_number": "203-230-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 76TH RD",
            "address_2": "SUITE E5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756424",
            "telephone_number": "718-793-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIS",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "000299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Alyssa Kruse, OD
• Aneta Katarzyna Krysiak, M.S.ED.,BCBA
• Qiaoling Lisa Kuang, LMT
• Mariya Kulangiyev, M.S.
• Moisey Kulangiyev
• Kalpana Kumar, NP
• Puneet Kumar, MD
• Elena Kunicki, RDN
• Chrissy Mabel Kuoh
• Laura Kuperman, MD

• Psychoanalysis Psychologist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Psychoanalysis Psychologist in New York

• 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.