Individual provider Active NPI

Assunta G. Vitti, PH.D.

  • Clinical Psychologist
  • Nyack, NY
National Provider Identifier
1861579591
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017430-1 Issued in NY
Practice address
48 Burd St Ste 306
Nyack, NY 10960-3257
Phone
(516) 697-4185
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Addiction (Substance Use Disorder) Psychologist 103TA0400X 017430-1 NY
Adult Development & Aging Psychologist 103TA0700X 017430-1 NY
Clinical Child & Adolescent Psychologist 103TC2200X 017430-1 NY
Health Psychologist 103TH0004X 017430-1 NY
Group Psychotherapy Psychologist 103TP2701X 017430-1 NY
Clinical Psychologist 103TC0700X 017430-1 NY Primary

Addresses

Primary practice location

48 Burd St Ste 306
Nyack, NY 10960-3257

Mailing address

514 Hudson View Rd
Nyack, NY 10960-1121
Phone (516) 609-3001

Other names 1

  • Dr. Susan G. Vitti Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150908000876 NY Practitioner - Clinical Psychologist 5597071597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical of New York PCGroup PAC ID 2567931306, 9 clinicians

Practice addresses (Care Compare)

173 Huguenot St
Suite 200
New Rochelle, NY 10801-7710
Phone (240) 200-0173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017430NYMDOccupational Therapist
017430-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Assunta Vitti, PHD Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1861579591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 HUDSON VIEW RD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601121",
            "telephone_number": "516-609-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BURD ST STE 306",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603257",
            "telephone_number": "516-697-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTI",
        "first_name": "ASSUNTA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "017430-1",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "017430-1",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "017430-1",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "017430-1",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "017430-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017430-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "VITTI",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.