Individual provider Active NPI

Suzanne Kohout Eschenbach, M.D.

  • Psychiatry Physician
  • Hartford, CT
National Provider Identifier
1386965374
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
061895 Issued in CT
Practice address
200 Retreat Avenue
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309
Phone
(860) 545-7330
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 251733 NY
Psychiatry Physician 2084P0800X 061895 CT Primary

Addresses

Primary practice location

200 Retreat Avenue
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309

Mailing address

200 Retreat Avenue
Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309
Phone (860) 545-7330

Other names 1

  • Suzanne Rose Kohout Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, DC, VA, WV5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20151008001235 NY Practitioner - Psychiatry 4981912177 Reassigns benefits to 2 organizations
I20230131003101 MD Practitioner - Psychiatry 4981912177 Reassigns benefits to 1 organization
I20230131003295 DC Practitioner - Psychiatry 4981912177 Reassigns benefits to 1 organization
I20240805001872 VA Practitioner - Psychiatry 4981912177 Reassigns benefits to 1 organization
I20251004000039 WV Practitioner - Psychiatry 4981912177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

1831 Forest Dr
Suite a
Annapolis, MD 21401-4430
Phone (410) 268-9400

2621 Grove Ave
Richmond, VA 23220-4308
Phone (703) 812-4642

4520 E W Hwy
Suite 775
Bethesda, MD 20814-0066
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
061895CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jun 27, 2014 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Maimonides Department of Psychiatry FPP Psychiatry CurrentSince Jun 27, 2014 Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince Mar 1, 2023 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients

Locations

1831 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 268-9400

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

2331 York Rd
Ste 100
Timonium, MD 21093

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

920 48th St
#1510
Brooklyn, NY 11219

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

158 Front Royal Pike
Ste 206
Winchester, VA 22602
Phone (540) 304-6533

115 Aikens Ctr
Ste 4
Martinsburg, WV 25404
Phone (240) 347-0022

Interoperability endpoints

  • Direct secure messaging: suzanne.eschenbach@xdr.hhchealthdirect.org
  • Direct secure messaging: suzanneeschenbach@mai.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1386965374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVENUE",
            "address_2": "HARTFORD HOSPITAL PSYCHIATRY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-545-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVENUE",
            "address_2": "HARTFORD HOSPITAL PSYCHIATRY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-545-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHENBACH",
        "first_name": "SUZANNE",
        "middle_name": "KOHOUT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "251733",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "061895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "KOHOUT",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.