Organization Active NPI

Susan M Austin MD PLLC

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1316133689
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUSAN M AUSTIN MD PLLC
Practice address
553 Clinton Ave
Albany, NY 12206-2738
Phone
(518) 462-3047
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Susan M Austin, MD
Title
Psychiatrist
Phone
(518) 462-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

553 Clinton Ave
Albany, NY 12206-2738

Mailing address

402 Union St
Schenectady, NY 12305-1119
Phone (518) 374-7555

Other identifiers 1

IdentifierTypeStateIssuer
01697763MedicaidNY

National Provider Directory

National Provider Directory

Locations

553 Clinton Ave
Albany, NY 12206
Phone (518) 462-3047

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1316133689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051119",
            "telephone_number": "518-374-7555",
            "fax_number": "518-374-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 CLINTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062738",
            "telephone_number": "518-462-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M AUSTIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "518-462-3047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01697763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.