Susan M. Shimmerlik, PH.D., Psychologist, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

005138-1 Issued in NY

Legal business name

SUSAN M. SHIMMERLIK, PH.D., PSYCHOLOGIST, P.C.

Practice address

27 W 86TH St
New York, NY 10024-3615

Phone

(212) 877-3857

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Susan M. Shimmerlik, PH.D.NPI 1396953410

Title

President

Phone

(212) 877-3857

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan M. Shimmerlik, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1396953410
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558579672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243615",
            "telephone_number": "212-877-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. SHIMMERLIK, PH.D., PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIMMERLIK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-877-3857",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005138-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Lucak MD PC
• Susan L. Ungar, M.D., P.C.
• Susan L.Grant, M.D.,P.C.
• Susan Lucak MD PC
• Susan M. D'Addario, LCSW
• Susan Marshall, MD PC
• Susan N Finkelstein, CSW,PC
• Susan W Broner MD PC
• Susan Wallmeyer Acupuncture PC
• Valeria Susanina

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.