Active NPI
Erica Cusick, DO
- Psychiatry Physician
- South Lake Tahoe, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A25010
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A25010 | CA | MD | Psychiatry Physician |
| 25MB12209500 | NJ | MD | Psychiatry Physician |
| 329372 | NY | MD | Psychiatry Physician |
| OS024346 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barton Healthcare System | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| MCCD New Jersey Psychiatry Services LLC | Psychiatry | Current | Accepting new patients |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Barton Healthcare System | Current | 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.
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1750950499
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
PA
-
dba Talkiatry
- Psychiatry Physician
- Hampton, NJ
- NPI 1023729530
-
- Internal Medicine Physician
- South Lake Tahoe, CA
- NPI 1235196015
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.