Susan Elizabeth Egelko, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7742-1 Issued in NY

Practice address

137 E 36TH St
Suite #1L
New York, NY 10016-3528

Phone

(347) 612-6861

NPI assigned

Dec 15, 2006

Last updated

Aug 3, 2015By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1235291006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRAMERCY PARK N",
            "address_2": "#6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106302",
            "telephone_number": "212-387-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E 36TH ST",
            "address_2": "SUITE #1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163528",
            "telephone_number": "347-612-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGELKO",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "7742-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Egbuchulam, PHARMD
• Joseph Ege, LCSW
• Felicita Georgina Egede, LMHC, MSW
• Joshua Egede
• James Chukuemeke Egede, Sr, PH.D.
• Alan Egelman, MD
• Kamila Rashidovna Egemberdieva
• James S. Egen, LCSW
• Nicole Phyllis Katalin Egenberger, ND
• Stacey Egenthal, OTR/L

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.