Active NPI
Suzannah L. B. Espinosa, PH.D.
- Clinical Psychologist
- Ridgewood, NJ
National Provider Identifier
1619091600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 15093
- Practice address
- 589 Franklin Tpke
Suite 8
Ridgewood, NJ 07450-1989 - Phone
- (845) 624-2994
- Fax
- (845) 697-4092
- NPI assigned
- Mar 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 15093 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 15093 | NY |
Addresses
Primary practice location
589 Franklin Tpke
Suite 8
Ridgewood, NJ 07450-1989
Mailing address
91 Laurel Hill Dr
Westtown, NY 10998-3921
Phone (845) 624-2994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15093 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pascack Mental Health Center | 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.
-
- Mental Health Counselor
- Park Ridge, NJ
- NPI 1154526440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1619091600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 LAUREL HILL DR",
"city": "WESTTOWN",
"state": "NY",
"postal_code": "109983921",
"telephone_number": "845-624-2994",
"fax_number": "845-697-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 FRANKLIN TPKE",
"address_2": "SUITE 8",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501989",
"telephone_number": "845-624-2994",
"fax_number": "845-697-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "SUZANNAH",
"middle_name": "L. B.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-17",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "15093",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "15093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.