Organization Active NPI

Jessica Suzuki PHD Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1811611742
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JESSICA SUZUKI PHD PSYCHOLOGICAL SERVICES PLLC
Practice address
125 E 23Rd St # 4033
New York, NY 10010-4511
Phone
(901) 646-1024
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Jessica Suzuki, PHDNPI 1598305690
Title
Owner/Senior Psychologist
Phone
(901) 646-1024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

125 E 23Rd St # 4033
New York, NY 10010-4511

Mailing address

503 50TH Ave Apt 3C
Long Island City, NY 11101-5710
Phone (212) 961-7176

National Provider Directory

National Provider Directory

Locations

125 E 23rd St
#4033
New York, NY 10010
Phone (901) 646-1024

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1811611742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 50TH AVE APT 3C",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015710",
            "telephone_number": "212-961-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 23RD ST # 4033",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104511",
            "telephone_number": "901-646-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA SUZUKI PHD PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "SUZUKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/SENIOR PSYCHOLOGIST",
        "authorized_official_telephone_number": "901-646-1024",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.