Susanna Preziosi, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020638 Issued in NY

Practice address

696 Congress St
Portland, ME 04102-3304

Phone

(646) 820-1727

NPI assigned

Mar 18, 2016

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1346601218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023304",
            "telephone_number": "646-820-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023304",
            "telephone_number": "646-820-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Maine St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112033",
            "country_code": "US",
            "telephone_number": "646-820-1727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Gramercy Park North",
            "address_2": "1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10010",
            "country_code": "US",
            "telephone_number": "646-820-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREZIOSI",
        "first_name": "SUSANNA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolann Present
• Katherine L Pressey, APRN-CNP
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• Shannon R. Preston, LCSW
• Jeffrey G Previte, PA-C
• Cameron B Price, MD
• Daniel G Price, M.D.
• Grace Price, M.D.
• William Price, LCSW, LADC
• David C Prichard, PH.D., LCPC

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.