Individual provider Active NPI

Erica Cusick, DO

  • Psychiatry Physician
  • South Lake Tahoe, CA
National Provider Identifier
1447888680
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A25010 Issued in CA
Practice address
1067 4TH St
South Lake Tahoe, CA 96150-3459
Phone
(530) 600-1968
Fax
(530) 541-3361
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS024346 PA
Psychiatry Physician 2084P0800X 329372 NY
Psychiatry Physician 2084P0800X 25MB12209500 NJ
Psychiatry Physician 2084P0800X 20A25010 CA Primary

Addresses

Primary practice location

1067 4TH St
South Lake Tahoe, CA 96150-3459

Mailing address

PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255

Other practice location 1

109 W 27th St Ste 5S
New York, NY 10001-0265
Phone (833) 351-8255

Other practice location 2

53 Frontage Rd Fl 1
Hampton, NJ 08827-4031
Phone (833) 351-8255

Other practice location 3

680 American Ave Ste 302
King Of Prussia, PA 19406-4023
Phone (833) 351-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, NJ, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20241118000276 PA Practitioner - Psychiatry 9335673060 Reassigns benefits to 1 organization
I20251210003698 NY Practitioner - Psychiatry 9335673060 Reassigns benefits to 1 organization
I20251212000750 NJ Practitioner - Psychiatry 9335673060 Reassigns benefits to 1 organization
I20260310000639 CA Practitioner - Psychiatry 9335673060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians
MCCD New Jersey Psychiatry Services LLCGroup PAC ID 8921452350, 54 clinicians

Practice addresses (Care Compare)

1067 4TH St
South Lake Tahoe, CA 96150-3459
Phone (530) 600-1968

2418 E York St
Talkiatry
Philadelphia, PA 19125-3006
Phone (833) 351-8255

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A25010CAMDPsychiatry Physician
25MB12209500NJMDPsychiatry Physician
329372NYMDPsychiatry Physician
OS024346PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Healthcare System CurrentSince Mar 1, 2026 Accepting new patients
Barton Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Oct 28, 2024 Accepting new patients
MCCD New Jersey Psychiatry Services LLC Psychiatry CurrentSince Oct 4, 2025 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Oct 4, 2025 Accepting new patients
Barton Healthcare System CurrentSince Mar 1, 2026 Accepting new patients

Locations

1067 4th St
South Lake Tahoe, CA 96150
Phone (530) 600-1960

53 Frontage Rd
Fl 1
Hampton, NJ 08827
Phone (908) 386-2572

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

680 American Ave
Ste 302
King of Prussia, PA 19406
Phone (215) 821-4493

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Organizations & group practices 6

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1447888680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24449",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870589",
            "telephone_number": "833-351-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 4TH ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503459",
            "telephone_number": "530-600-1968",
            "fax_number": "530-541-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Ste 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100010265",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Frontage Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "NJ",
            "postal_code": "088274031",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 American Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194064023",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSICK",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS024346",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "329372",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB12209500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A25010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.