Individual provider Active NPI

Suzana Gjinovic, MFT

  • Marriage & Family Therapist
  • Brooklyn, NY
National Provider Identifier
1619772969
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
P133848 Issued in NY
Practice address
7906 4TH Ave
Brooklyn, NY 11209-3907
Phone
(718) 704-0898
Fax
(718) 540-8840
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P133848 NY Primary

Addresses

Primary practice location

7906 4TH Ave
Brooklyn, NY 11209-3907

Mailing address

7906 4TH Ave
Brooklyn, NY 11209-3907
Phone (718) 704-0898

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P133848NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intercity Psychotherapy Services LCSW, P.C. Marriage & Family Therapist CurrentSince Feb 23, 2025 Accepting new patients

Locations

7906 4th Ave
Brooklyn, NY 11209
Phone (718) 704-0898

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1619772969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093907",
            "telephone_number": "718-704-0898",
            "fax_number": "718-540-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093907",
            "telephone_number": "718-704-0898",
            "fax_number": "718-540-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJINOVIC",
        "first_name": "SUZANA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P133848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.