Susan A McDermott, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F403054-01 Issued in NY

Practice address

7 Hemphill PL Ste 232
Ballston Spa, NY 12020-4482

Phone

(838) 202-4296

NPI assigned

Feb 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Glens Falls Hospital Inc.

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1336198217

  Single Specialty

  Medicare reassignment NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166

  Single Specialty

  Medicare reassignment NPD
• Glens Falls Hospital Inc

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1619990991

  Single Specialty

  NPD
• Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Urgent Care Clinic/Center
  • Queensbury, NY
  • NPI 1275177321
  NPD
• Saratoga Hospital

  • Primary Care Clinic/Center
  • Ballston Spa, NY
  • NPI 1386067601

  Single Specialty

  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1629415740

  Single Specialty

  NPD

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1093088247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HEMPHILL PL STE 232",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120204482",
            "telephone_number": "518-588-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HEMPHILL PL STE 232",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120204482",
            "telephone_number": "838-202-4296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park Street",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "12801",
            "country_code": "US",
            "telephone_number": "518-926-3265",
            "fax_number": "518-926-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Nott St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082425",
            "country_code": "US",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337084-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403054-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.mcdermott@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Carver Mastroianni, RN
• Shelly Mauro, RN
• Michael C Mayo, OTR/L
• Billie Jo McCann, OTR/L
• Claire McCullough, MS CCC-SLP
• Lois Anne McGee, RN
• Katelyn Michelle McGowan, FNP
• Jenna McMahon
• Britt McManus
• Janice D McPhee, RN

• Psychiatric/Mental Health Nurse Practitioner in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.