Individual provider Active NPI

Susan Ritholz, PHD, LCSW-R

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1275968943
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R0587341 Issued in NY
Practice address
319 Macdonough St
1
Brooklyn, NY 11233-1012
Phone
(718) 398-1130
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R0587341 NY Primary
Psychiatric Hospital 283Q00000X R0587341 NY

Addresses

Primary practice location

319 Macdonough St
1
Brooklyn, NY 11233-1012

Mailing address

319 Macdonough St
1
Brooklyn, NY 11233-1012
Phone (718) 398-1130

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R0587341NYMDPsychiatric Hospital

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1275968943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MACDONOUGH ST",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331012",
            "telephone_number": "718-398-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MACDONOUGH ST",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331012",
            "telephone_number": "718-398-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITHOLZ",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0587341",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "R0587341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.