Blossoming Figs Psychological Services, LLC.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015651 Issued in PA

Legal business name

BLOSSOMING FIGS PSYCHOLOGICAL SERVICES, LLC.

Practice address

223 Washington St
Ist Floor Office
East Stroudsburg, PA 18301-2862

Phone

(570) 424-6734

Fax

(570) 424-6734

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sussie Eshun, PH.D.NPI 1376529560

Title

Psychologist

Phone

(570) 424-6734

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Sussie Eshun, PH.D.

  • Clinical Psychologist
  • East Stroudsburg, PA
  • NPI 1376529560
  Medicare reassignment Authorized official
• Sandi-Lynn Eshun, LPC, LMHC

  • Professional Counselor
  • East Stroudsburg, PA
  • NPI 1245906338
  NPD (past)
• Cornelia Sewell-Allen

  • Professional Counselor
  • East Stroudsburg, PA
  • NPI 1730763749
  NPD (past)

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1508018847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183014257",
            "telephone_number": "570-424-6734",
            "fax_number": "570-424-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WASHINGTON ST",
            "address_2": "IST FLOOR OFFICE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012862",
            "telephone_number": "570-424-6734",
            "fax_number": "570-424-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING FIGS PSYCHOLOGICAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "ESHUN",
        "authorized_official_first_name": "SUSSIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-424-6734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD",
            "identifier": "001762927",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2260134",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Donald Biffen, D.M.D.
• Donald Reid Biffen, D.D.S.
• Dylan Keith Billings
• Birch Light Perspective LLC
• Christine Lynn Blight, RPH
• Anthony Blundetto, MPAS, PA-C
• Michele Ann Bodine, PHARMACIST
• Laura Elizabeth Bogert, PA-C
• Michelle Bogus
• Maksim Boguslavskiy, DO

• Clinical Psychologist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.