Steven Sussman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI03332 Issued in NJ

Practice address

615 Sherwood Pkwy
Mountainside, NJ 07092-2525

Phone

(908) 232-6432

Fax

(908) 654-4676

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Psychological Concepts, P.C.

  • Psychologist
  • Manalapan, NJ
  • NPI 1588869663
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184775355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHERWOOD PKWY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922525",
            "telephone_number": "908-232-6432",
            "fax_number": "908-654-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SHERWOOD PKWY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922525",
            "telephone_number": "908-232-6432",
            "fax_number": "908-654-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI03332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van S Stevens, DMD
• Lisa A Sturm, MSW, LCSW
• Sunrise House Foundation, Inc.
• Supportive Space Counseling Center
• Jake Sussman, LCSW
• Jessica Ann Sweeney, M.S. ED., CCC-SLP
• Dolores Switaj, PHD
• Allyson Taylor, PHARMD
• Stuart Curtis Thau
• The Arc of Union County

• Clinical Psychologist in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.