Active NPI
Sujatha Subramanian, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1326497496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014199-1
- Practice address
- 1 W 64TH St
Courtyard Office
New York, NY 10023-6734 - Phone
- (917) 538-9496
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 014199-1 | NY | |
| Psychologist | 103T00000X | 014199-1 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 014199-1 | NY | |
| Clinical Psychologist | 103TC0700X | 014199-1 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 014199-1 | NY | |
| Psychoanalysis Psychologist | 103TP0814X | 014199-1 | NY |
Addresses
Primary practice location
1 W 64TH St
Courtyard Office
New York, NY 10023-6734
Mailing address
1 W 64TH St
Courtyard Office
New York, NY 10023-6734
Phone (917) 538-9496
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014199-1 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1326497496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W 64TH ST",
"address_2": "COURTYARD OFFICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236734",
"telephone_number": "917-538-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W 64TH ST",
"address_2": "COURTYARD OFFICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236734",
"telephone_number": "917-538-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBRAMANIAN",
"first_name": "SUJATHA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "014199-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014199-1",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "014199-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014199-1",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "014199-1",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "014199-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.