Organization Active NPI

Susan F Epstein PHD, Licensed Psychologist PLLC

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1841797420
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
016655 Issued in NY
Legal business name
SUSAN F EPSTEIN PHD, LICENSED PSYCHOLOGIST PLLC
Practice address
5 W 86TH St Apt 1C
New York, NY 10024-3663
Phone
(646) 450-3633
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Dr. Susan F Epstein, PHDNPI 1437367638
Title
Owner
Phone
(646) 450-3633

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 016655 NY Primary
Developmental Disabilities Clinic/Center 261QD1600X 016655 NY
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 016655 NY

Addresses

Primary practice location

5 W 86TH St Apt 1C
New York, NY 10024-3663

Mailing address

3524 78TH St Apt B11
Jackson Heights, NY 11372-4705
Phone (646) 250-8441

National Provider Directory

National Provider Directory

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": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1841797420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 78TH ST APT B11",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724705",
            "telephone_number": "646-250-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 86TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243663",
            "telephone_number": "646-450-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F EPSTEIN PHD, LICENSED PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-450-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "016655",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "016655",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "016655",
            "primary": false
        }
    ],
    "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 Apr 10, 2018; 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.