Active NPI
Suneela Kumar, PH.D.
- Psychologist
- Bronx, NY
National Provider Identifier
1598920464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016550-1
- Practice address
- 1474 Shore Dr
Bronx, NY 10465-1510 - Phone
- (917) 686-8410
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016550-1 | NY | Primary |
Addresses
Primary practice location
1474 Shore Dr
Bronx, NY 10465-1510
Mailing address
1474 Shore Dr
Bronx, NY 10465-1510
Phone (917) 686-8410
Other names 1
- Dr. Suneela Kumar-Izaguirre
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240307003385 | NY | Order and Referring Only - Other (Non-Physician) | 5597029389 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016550-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1598920464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 SHORE DR",
"city": "BRONX",
"state": "NY",
"postal_code": "104651510",
"telephone_number": "917-686-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 SHORE DR",
"city": "BRONX",
"state": "NY",
"postal_code": "104651510",
"telephone_number": "917-686-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "SUNEELA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016550-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUNEELA",
"last_name": "KUMAR-IZAGUIRRE",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.