Nathaniel Sufrin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

026790 Issued in NY

Practice address

81 Court St
Brooklyn, NY 11201-5003

Phone

(847) 513-3201

NPI assigned

Dec 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1922816156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 COURT ST FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015003",
            "telephone_number": "847-513-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Charlton St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100144908",
            "country_code": "US",
            "telephone_number": "847-513-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUFRIN",
        "first_name": "NATHANIEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Hui Suen, MD, MPH
• Kaki Suen, PA
• Denise Suero, LMSW
• Nicole Sufian
• Blandine Sufran
• Sugarhill Medical P.C.
• Sugarhill Medical P.C.
• Alix Sugarman, LCAT
• Maxwell Sugarman
• Gainosuke Sugiyama, MD

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 19, 2024; 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.