Manal Ann Sous, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA66503 Issued in NJ

Practice address

637 Wycoff Ave
Second Floor Office 3
Wyckoff, NJ 07481

Phone

(201) 848-0700

Fax

(201) 848-0677

NPI assigned

Sep 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Christian Health Care Center

  • Psychiatric Hospital
  • Wyckoff, NJ
  • NPI 1114916954
  Medicare reassignment NPD
• Advent Christian Health Associates

  • Social Worker
  • New Providence, NJ
  • NPI 1538143102

  Psychiatry

  NPD (past)
• East Mountain Hospital Inc

  • Psychiatric Hospital
  • Belle Mead, NJ
  • NPI 1184626152
  NPD (past)
• East Mountain Hospital, Inc.

  • Psychiatry Physician
  • Belle Mead, NJ
  • NPI 1437366127
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255434312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WYCOFF AVE",
            "address_2": "SECOND FLOOR OFFICE 3",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-848-0700",
            "fax_number": "201-848-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WYCOFF AVE",
            "address_2": "SECOND FLOOR OFFICE 3",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-848-0700",
            "fax_number": "201-848-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUS",
        "first_name": "MANAL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA66503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8312800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart F. Slavin, MD
• Ewelina Slazyk
• Stephen Smiley, D.D.S.
• Danielle Smith
• Martin L Smithline, MD
• Dianne Speakman, SLP.
• Shannon Catherine Spurrell, OTD, OTR/L
• Shannon Stahler
• Peter Staller, LCSW
• Mark A. Stansfield, PA-C

• Psychiatry Physician in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Psychiatry Physician 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.