Susan Hardwick Fischer, PHD
Individual provider Active NPI Psychologist · Tuckahoe, NY
NPI 1366634693 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1366634693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 010432 (NY)
- Practice address
- 111 Lake Avenue
Ste 4
Tuckahoe, NY 10707 - Phone
- (914) 793-7708
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 Lake Ave
RM 4
Tuckahoe, NY 10707-3943
Phone (914) 793-7708
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121203000078 | NY | Practitioner - Clinical Psychologist | 0749432516 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010432 | NY | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010432 | NY | Yes |
Addresses
Primary practice location
111 Lake Avenue
Ste 4
Tuckahoe, NY 10707
Mailing address
111 Lake Avenue
Suite 4
Tuckahoe, NY 10707
Phone (914) 793-7708
Other providers in Tuckahoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.