Suzanne Deisher, MPS, ATR-BC, LCAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

001954 Issued in NY

Practice address

795 Willow Rd
Menlo Park, CA 94025-2539

Phone

(605) 493-5000

NPI assigned

Jul 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Art Therapy Project Corporation

  • Art Therapist
  • New York, NY
  • NPI 1073016838
  NPD (past)

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1114571213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 BROADWAY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "605-493-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E 23rd St Rm 105",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100103901",
            "country_code": "US",
            "telephone_number": "212-592-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 W 21st St Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100113203",
            "country_code": "US",
            "telephone_number": "212-592-2755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEISHER",
        "first_name": "SUZANNE",
        "credential": "MPS, ATR-BC, LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "paloalto.va.gov",
            "affiliation": "N",
            "address_1": "795 Willow Rd",
            "city": "Menlo Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940252539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alan Stuart Dearborn, PSY.D.
• John Terry Dearborn, MD
• Karen Dearing, PH.D.
• Deborah Brewer Inc Licensed Clinical Social Worker
• Sonja S Declercq, MD
• Andre Delagnes
• Elizabeth Victoria Delgadillo, LMSW
• Lisa Delos Santos, O.D.
• Charlotte Deng
• Manpreet Kaur Deol, M.A RADT-1

• Art Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Art Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.