Susan Gisonda, DNP, RN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

40401343 Issued in NY

Practice address

30 E 23Rd St Ste 700
New York, NY 10010-4408

Phone

(646) 650-5337

NPI assigned

Nov 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1568459204
  NPD
• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1821394016
  NPD

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1720389356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 23RD ST STE 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104408",
            "telephone_number": "646-650-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 23RD ST STE 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104408",
            "telephone_number": "646-650-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3789 Beechwood Pl",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "NY",
            "postal_code": "117832022",
            "country_code": "US",
            "telephone_number": "516-518-5675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISONDA",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401343",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40401343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Girvin, N.P,, M.P.H.
• Julia Rose Girzadas, LMSW
• Aimee C Gish, CRNP
• Ashley Brooke Gish, RDN
• Tracey Gisler, NP
• Fiona Elizabeth Gispen, MD
• Melanie Gissen
• Gary Gissler, LMSW
• Ramon Edward Gist, M.D.
• Emily Gitau, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.