Susan J Lobacz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011556 Issued in NY

Practice address

100 S Main St
Suite 206
Sayville, NY 11782-3100

Phone

(631) 859-0228

Fax

(631) 224-4156

NPI assigned

Dec 23, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1639234396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117410608",
            "telephone_number": "631-859-0228",
            "fax_number": "631-224-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823100",
            "telephone_number": "631-859-0228",
            "fax_number": "631-224-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBACZ",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li NP in Family Health and Adult Health PLLC
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• Deanna Ramdeo Liu, LMHC
• Oisan Amy Liu
• Emily Llewellyn
• Doreen Lobato Frank, P.A.
• Lodestar Children'S Services Inc.
• Danielle Lomando, RN
• Long Island Family Medical Group PC
• Kerri Lynn Lopez, DMD

• Clinical Psychologist in Sayville, NY
• Providers in Sayville, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.