Individual provider Active NPI

Suzan Uysal, PH.D.

  • Clinical Neuropsychologist
  • Sleepy Hollow, NY
National Provider Identifier
1508925975
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
012201-1 Issued in NY
Practice address
701 N Broadway
Phelps Memorial Hospital Center
Sleepy Hollow, NY 10591-1020
Phone
(914) 238-1830
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 012201-1 NY Primary

Addresses

Primary practice location

701 N Broadway
Phelps Memorial Hospital Center
Sleepy Hollow, NY 10591-1020

Mailing address

49 Valley View Rd
Chappaqua, NY 10514-2523
Phone (914) 238-1830

Other identifiers 1

IdentifierTypeStateIssuer
7248733OtherNYAETNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000425 NY Practitioner - Clinical Psychologist 2769386408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 Valley View Rd
Chappaqua, NY 10514-2523
Phone (914) 238-1830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012201-1NYMDOccupational Therapist
012201NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Neuropsychology Services, PC Clinical Neuropsychologist CurrentSince Jan 1, 2005 Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients

Locations

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: suysal70537@northwell.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1508925975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VALLEY VIEW RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142523",
            "telephone_number": "914-238-1830",
            "fax_number": "914-239-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "address_2": "PHELPS MEMORIAL HOSPITAL CENTER",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-238-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYSAL",
        "first_name": "SUZAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "012201-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7248733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.