Individual provider Active NPI

Suanne Garber Mallenbaum, MD, PHD

  • Child & Adolescent Psychiatry Physician
  • Larchmont, NY
National Provider Identifier
1295757177
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
183699 Issued in NY
Practice address
1 West Ave
Suite 215
Larchmont, NY 10538-2470
Phone
(914) 834-4379
Fax
(914) 381-2633
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 183699 NY Primary
Neurodevelopmental Disabilities Physician 2084P0005X 183699 NY

Addresses

Primary practice location

1 West Ave
Suite 215
Larchmont, NY 10538-2470

Mailing address

PO Box 318H
Scarsdale, NY 10583-8818
Phone (914) 381-6308

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
183699NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Management, PC Child & Adolescent Psychiatry Current Accepting new patients

Locations

1 West Ave
Ste 215
Larchmont, NY 10538
Phone (914) 381-6308

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1295757177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318H",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105838818",
            "telephone_number": "914-381-6308",
            "fax_number": "914-381-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE",
            "address_2": "SUITE 215",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382470",
            "telephone_number": "914-834-4379",
            "fax_number": "914-381-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLENBAUM",
        "first_name": "SUANNE",
        "middle_name": "GARBER",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "183699",
            "primary": true
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NY",
            "license": "183699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.