Surbaugh Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

017851 Issued in NY

Legal business name

SURBAUGH PSYCHOLOGICAL SERVICES LLC

Practice address

31 Washington SQ W
Suite 5R
New York, NY 10011-9126

Phone

(917) 974-6733

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Julie Surbaugh, PSY.D.

Title

Psychologist and Owner

Phone

(917) 974-6733

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Elizabeth Surbaugh-Contreras, PSY.D.

  • Psychologist
  • New York, NY
  • NPI 1124269428
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1659627206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WASHINGTON SQ W",
            "address_2": "SUITE 5R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119126",
            "telephone_number": "917-974-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WASHINGTON SQ W",
            "address_2": "SUITE 5R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119126",
            "telephone_number": "917-974-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURBAUGH PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "SURBAUGH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST AND OWNER",
        "authorized_official_telephone_number": "917-974-6733",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Kumar Suraneni, BS
• Sara Surani
• Rajani Surapaneni, MD
• Jerrold Surasky, PH.D.
• Madelia Suravilla, RN
• Julie Elizabeth Surbaugh-Contreras, PSY.D.
• Katherine Surber, PHARMD
• Amarjot Surdhar, MD
• Olivia Elizabeth Surdi, M.A., CF-SLP, TSSLD
• Patrice Surdi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.