Michael Evan Sude, PH.D. MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

718 Issued in NY

Practice address

4101 E Genesee St
Syracuse, NY 13214-2136

Phone

(315) 445-0820

Fax

(315) 445-0859

NPI assigned

May 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1942418157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142136",
            "telephone_number": "315-445-0820",
            "fax_number": "315-445-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142136",
            "telephone_number": "315-445-0820",
            "fax_number": "315-445-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDE",
        "first_name": "MICHAEL",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PH.D. MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P54396",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinodhini M Subramanian, MD
• Laura J Sucapani, FNP
• Sara Such
• James E Suchnicki, MD
• Mark Suchowiecki, PA
• Philip Andrew Sudore, M.D.
• Funda E Suer, PHD, FACMG, DABMGG
• Genesis Sugrue
• Suhas V. Pradhan, M.D., P.C.
• Desiree M Suits, PA-C

• Marriage & Family Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.