Suzanne Fessenden, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014123 Issued in NY

Practice address

17 Prospect St
Huntington, NY 11743-3317

Phone

(631) 673-3226

Fax

(631) 673-3028

NPI assigned

Jul 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659398584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433317",
            "telephone_number": "631-673-3226",
            "fax_number": "631-673-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433317",
            "telephone_number": "631-673-3226",
            "fax_number": "631-673-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSENDEN",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2524066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "V119V",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6883291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7931185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gianna Ferreira, PT, DPT, CSCS
• Ideliz Ferreiro
• Samantha Ann Ferreri
• Kristin Ferretii
• Ashley Noel Ferrufino, LMHC, CASAC
• Alan D. Fetterman, M.D.
• Tami Coleen Fetzer, PNP
• Ann Fici, MS CCC-SLP TSSLD
• Ruth Rel Fielding
• Larissa Figari, D.D.S.

• Clinical Psychologist in Huntington, NY
• Providers in Huntington, 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 Jul 8, 2007; 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.