Individual provider Active NPI

Dolores Theresa Suzansky, APN, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1164104907
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14888500 Issued in NJ
Practice address
217 10TH Ave
Bethlehem, PA 18018-5123
Phone
(484) 749-9155
Fax
(484) 328-6373
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14888500 NJ Primary

Addresses

Primary practice location

217 10TH Ave
Bethlehem, PA 18018-5123

Mailing address

217 10TH Ave
Bethlehem, PA 18018-5123
Phone (484) 749-9155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ14888500NJMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1164104907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 10TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185123",
            "telephone_number": "484-749-9155",
            "fax_number": "484-328-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 10TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185123",
            "telephone_number": "484-749-9155",
            "fax_number": "484-328-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZANSKY",
        "first_name": "DOLORES",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "APN, CRNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14888500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.