Susan Jane McPhillips, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

132589 Issued in NY

Practice address

1 Lawrence St
Center for Children and Families
Glens Falls, NY 12801-3617

Phone

(518) 926-7100

Fax

(518) 926-7069

NPI assigned

Oct 12, 2005

Last updated

Jun 13, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1871581975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "GLENS FALLS HOSPITAL",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-7100",
            "fax_number": "518-926-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAWRENCE ST",
            "address_2": "CENTER FOR CHILDREN AND FAMILIES",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013617",
            "telephone_number": "518-926-7100",
            "fax_number": "518-926-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHILLIPS",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "132589",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "132589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00033406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason McLaughlin, CASAC-T
• Leo C McLaughlin, RPH
• Jean M McMahon
• Jacqueline Helen McMurry, PHYSICIAN ASSISTANT
• Alessandra McNeil, PA (ASCP)
• Karen E McShane, MD
• Medical Anesthesia Specialists of Ny PC
• Meghan D. Lemery, Lcswr, PLLC
• James Alexander Meglino, D.C.
• Lauren M Meilhede, MD

• Child & Adolescent Psychiatry Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.