Ben J Susswein, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00130900 Issued in NJ

Practice address

17 Midland Ave
Montclair, NJ 07042-2806

Phone

(973) 783-6003

NPI assigned

May 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen Roth Educational and Psychological Services

  • Clinical Psychologist
  • Montclair, NJ
  • NPI 1790034072
  NPD (past)
• Prism Counseling and Consulting

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1285135012
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598971467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MIDLAND AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422806",
            "telephone_number": "973-783-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MIDLAND AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422806",
            "telephone_number": "973-783-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSWEIN",
        "first_name": "BEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00130900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Sullivan, LAC
• Summit Medical Group PA
• Sunset Hospital Physicians, P.a.
• Superior Physical Medicine LLC
• Supernova Counseling LLC
• Elizabeth Swick, MS, RD
• Sade Swift
• Mary Margaret Switzer, LCSW
• David George Szmak, PSY.D.
• Khalid Abdelsalam Mohamed Tahir

• Psychologist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.