Susan Eve Shachner, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012757 Issued in NY

Practice address

111 John St
RM 2400
New York, NY 10038-3013

Phone

(212) 420-1281

NPI assigned

Nov 4, 2007

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

Other names 1

• Dr. Susan Eve Shachner-Schultz Other name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1740460096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JOHN ST",
            "address_2": "RM 2400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383013",
            "telephone_number": "212-420-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN ST",
            "address_2": "RM 2400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383013",
            "telephone_number": "212-420-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACHNER",
        "first_name": "SUSAN",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SHACHNER-SCHULTZ",
            "middle_name": "EVE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Eyal Shabtai
• Julie Mara Shabto, MD
• Uri Shabto, MD
• Marvin Shabus, DDS
• Orna Shachar, DR.
• David Shack, AGPCNP-BC
• Annie Cella Shackelford, LCSW
• Michele Dee Shackelford, PH.D.
• Asfa Y Shad, D.O.
• Raquel Shadan

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Oct 16, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.