Susan J Mendelsohn PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SUSAN J MENDELSOHN PA

Practice address

1919 NE 45TH St Ste 218
Fort Lauderdale, FL 33308-5136

Phone

(954) 294-7036

Fax

(954) 652-1483

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Susan J Mendelsohn, PSYDNPI 1669531596

Title

President

Phone

(954) 294-7036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan J Mendelsohn, PSYD

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1669531596
  Medicare reassignment NPD Authorized official
• Elizabeth P Sumpf, LCSW

  • Clinical Social Worker
  • Plantation, FL
  • NPI 1124400437
  NPD (past)

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1376016501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WASHINGTON AVENUE",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333083622",
            "telephone_number": "954-294-7036",
            "fax_number": "954-652-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NE 45TH ST STE 218",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085136",
            "telephone_number": "954-294-7036",
            "fax_number": "954-652-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J MENDELSOHN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "MENDELSOHN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-294-7036",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peach Supupramai, DO
• Maya Suresh Kumar, M.B.B.S
• Surgical Assistant Services Inc.
• Surgical Peace LLC
• Andrew Surro, MD
• Robin Susser, SLP
• Binyamin Sussman, DC
• Todd Alan Sussman, MS, LMHC, LMFT
• Malka Suster, PHARMD
• Pamela M Sutton, MD

• Clinical Psychologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.