Individual provider Active NPI

Suzanne Kalten, PHD

  • Clinical Psychologist
  • Seaford, NY
National Provider Identifier
1104840727
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
15006 Issued in NY
Practice address
2146 Jackson Ave
Seaford, NY 11783-2606
Phone
(516) 221-3030
Fax
(516) 221-4160
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 15006 NY Primary

Addresses

Primary practice location

2146 Jackson Ave
Seaford, NY 11783-2606

Mailing address

2146 Jackson Ave
Seaford, NY 11783-2606
Phone (516) 221-3030

Other identifiers 1

IdentifierTypeStateIssuer
02246220MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040927000110 NY Practitioner - Clinical Psychologist 2769451947 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
15006NYMDClinical Psychologist
015006NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC CurrentSince May 14, 2014 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Jun 1, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Nassau Guidance Counseling & Licensed Clinical Social Work Services PC CurrentSince Oct 2, 2012 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Jun 1, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC Clinical CurrentSince May 14, 2014 Accepting new patients
Clinical Psychassociates LLP Clinical PastSince Dec 11, 2017 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

3512 Quentin Rd
Ste 110
Brooklyn, NY 11234
Phone (718) 854-8370

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

16411 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 296-7800

303 Merrick Rd
Ste 204
Lynbrook, NY 11563

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 7

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1104840727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-221-3030",
            "fax_number": "516-221-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-221-3030",
            "fax_number": "516-221-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTEN",
        "first_name": "SUZANNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "15006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02246220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.