Jessica Yumiko Suzuki, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023443 Issued in NY

Practice address

433 1St Ave Ste 125
New York, NY 10010-4067

Phone

(212) 961-7176

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Jessica Suzuki PHD Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1811611742
  NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1598305690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 50TH AVE APT 3C",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015710",
            "telephone_number": "212-961-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 1ST AVE STE 125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104067",
            "telephone_number": "212-961-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "JESSICA",
        "middle_name": "YUMIKO",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jys314@nyu.edu",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "433 1st Ave Ste 125",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100104067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ariel Suyunov
• Suzanne R Steinbaum DO PC
• Suzanne Semanson Physical Therapy, PLLC
• Suzanne Yale MD & Adam Romoff, MD, PC
• Eriko Suzuki, L.AC.
• Maya Suzuki
• Miho Suzuki
• Takanori Suzuki, D.D.S., PH.D.
• Yasushi Suzuki, L.AC
• Yuko Suzuki

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.