Susan Ruth Clarvit, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

164380 Issued in NY

Practice address

1120 Park Ave
New York, NY 10128-1242

Phone

(212) 996-9245

Fax

(914) 693-0023

NPI assigned

Oct 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 17, 2013 through Mar 17, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1508853805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281242",
            "telephone_number": "212-996-9245",
            "fax_number": "914-693-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281242",
            "telephone_number": "212-996-9245",
            "fax_number": "914-693-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARVIT",
        "first_name": "SUSAN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "164380",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "164380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna-Kay Clarke, NP
• Stephanie K Clarke, MS, RD, CDN
• Vanessa Clarke, M.D.
• Clarke'S Supplies LLC
• Kim Stephanie Clarkin, M.D
• Leah E Clary, LPC
• Class (Children'S Language and Speech Services), LLC.
• Jacquelyn Taylor Class, LMSW
• Sasha G. Classe, LCSW
• Anthony Classi, D.M.D.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.