Individual provider Active NPI

Susan C Horan

  • Clinical Social Worker
  • Fishkill, NY
National Provider Identifier
1609970037
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0549841 Issued in NY
Practice address
798 Route 9
Suite E Spectrum Behavioral Management Serv Inc
Fishkill, NY 12524
Phone
(845) 485-3500
Fax
(845) 485-8780
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0549841 NY Primary

Addresses

Primary practice location

798 Route 9
Suite E Spectrum Behavioral Management Serv Inc
Fishkill, NY 12524

Mailing address

20 Danis Avenue
Poughkeepsie, NY 12603-2408
Phone (845) 485-3500

Other identifiers 5

IdentifierTypeStateIssuer
2118800OtherCIGNA BEH HEALTH
617440OtherMVP HEALTH CARE
1033150OtherBEACON HEALTH STRAT
495291OtherVALUE OPTIONS CDPHP
495291OtherVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0549841NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Behavioral Management Services, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609970037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DANIS AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-485-3500",
            "fax_number": "845-485-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ROUTE 9",
            "address_2": "SUITE E SPECTRUM BEHAVIORAL MANAGEMENT SERV INC",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-485-3500",
            "fax_number": "845-485-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "SUSAN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0549841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEH HEALTH",
            "identifier": "2118800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "617440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRAT",
            "identifier": "1033150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS CDPHP",
            "identifier": "495291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "495291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.