Active NPI
Susan C Horan
- Clinical Social Worker
- Fishkill, NY
National Provider Identifier
1609970037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0549841
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118800 | Other | CIGNA BEH HEALTH | |
| 617440 | Other | MVP HEALTH CARE | |
| 1033150 | Other | BEACON HEALTH STRAT | |
| 495291 | Other | VALUE OPTIONS CDPHP | |
| 495291 | Other | VALUE 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0549841 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Cognitive & Behavioral Psychologist
- Poughkeepsie, NY
- NPI 1629051149
Clinical
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
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.