Individual provider Active NPI

Susanne K Struebing

  • Counseling Psychologist
  • Clinton, NJ
National Provider Identifier
1063509529
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35SI00404800 Issued in NJ
Practice address
6 E Main St
Clinton, NJ 08809-2627
Phone
(908) 268-1126
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 35SI00404800 NJ Primary

Addresses

Primary practice location

6 E Main St
Clinton, NJ 08809-2627

Mailing address

15 Fairview Ave
Clinton, NJ 08809-1357
Phone (908) 268-1126

Other practice location 1

115 Main St
Flemington, NJ 08822-1679
Phone (908) 268-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205002147 NJ Practitioner - Clinical Psychologist 8022444355 Practice locations: Clinton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 E Main St
Clinton, NJ 08809-2627
Phone (908) 268-1126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00404800NJMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison and Harrison Associates in Psychological Services Counseling PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1063509529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FAIRVIEW AVE",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091357",
            "telephone_number": "908-268-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088092627",
            "telephone_number": "908-268-1126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Main St",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088221679",
            "country_code": "US",
            "telephone_number": "908-268-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUEBING",
        "first_name": "SUSANNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00404800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

Verify at the official NPI Registry.