Michael Susco, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

168413-1 Issued in NY

Practice address

1386 Hathaway Dr
Suite a
Farmington, NY 14425-8973

Phone

(585) 396-4190

NPI assigned

Feb 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

PsychiatryAlso: Addiction Medicine

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Finger Lakes Area Counseling and Recovery Agency, Inc.Group PAC ID 1254683766, 6 clinicians

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.

• Finger Lakes Area Counseling and Recovery Agency, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Clifton Springs, NY
  • NPI 1366434011
  Medicare reassignment Care Compare group NPD
• Clifton Springs Sanitarium Co

  • General Acute Care Hospital
  • Clifton Springs, NY
  • NPI 1366505463
  Medicare reassignment
• Saint Francis Hospital / Medicine

  • Hospitalist Physician
  • Poughkeepsie, NY
  • NPI 1528167442
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1285609131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NORTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011154",
            "telephone_number": "845-431-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 HATHAWAY DR",
            "address_2": "SUITE A",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144258973",
            "telephone_number": "585-396-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSCO",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "168413-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01361962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Snieszko, LMSW
• Robert Sold, PHARMD
• Barbara Ruth Sprung, NPP RN
• Jenna Strickland, RD
• Ehren Danielle Strohm, NP
• Eric James Szewczyk, PHARMD
• Michelle M Tucker
• Victor Association of Cultural and Performing Arts
• Farley Wagner, PT
• Walter J. Deck, D.M.D., P.C.

• Psychiatry Physician in Farmington, NY
• Providers in Farmington, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.