Active NPI
Suzanne Soganics, CASAC
- Addiction (Substance Use Disorder) Counselor
- Bellport, NY
National Provider Identifier
1679655187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17795
- Practice address
- 11 Farber Drive
Unit D
Bellport, NY 11713 - Phone
- (631) 286-0700
- Fax
- (631) 286-0688
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17795 | NY | Primary |
| Social Worker | 104100000X | 076986 | NY |
Addresses
Primary practice location
11 Farber Drive
Unit D
Bellport, NY 11713
Mailing address
11 Farber Drive
Unit D
Bellport, NY 11713
Phone (631) 286-0700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17795 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 076986 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1679655187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FARBER DRIVE",
"address_2": "UNIT D",
"city": "BELLPORT",
"state": "NY",
"postal_code": "11713",
"telephone_number": "631-286-0700",
"fax_number": "631-286-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FARBER DRIVE",
"address_2": "UNIT D",
"city": "BELLPORT",
"state": "NY",
"postal_code": "11713",
"telephone_number": "631-286-0700",
"fax_number": "631-286-0688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOGANICS",
"first_name": "SUZANNE",
"credential": "CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "17795",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "076986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.