Individual provider Active NPI

Susan C. Warshaw, ED.D., ABPP

  • School Psychologist
  • New York, NY
National Provider Identifier
1962418848
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4559 Issued in NY
Practice address
11 Riverside Dr
Suite 5
New York, NY 10023-2504
Phone
(212) 496-1161
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4559 NY
Clinical Psychologist 103TC0700X 4559 NY
Psychoanalysis Psychologist 103TP0814X 4559 NY
School Psychologist 103TS0200X 4559 NY Primary

Addresses

Primary practice location

11 Riverside Dr
Suite 5
New York, NY 10023-2504

Mailing address

225 W 106TH St
Apt.11K
New York, NY 10025-3611
Phone (212) 496-1161

Other names 1

  • Dr. Susan Warshaw 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
I20060504000635 NY Practitioner - Clinical Psychologist 7012927189 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 W 106TH St
Apt 11K
New York, NY 10025-3656
Phone (212) 864-7969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4559NYMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962418848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 106TH ST",
            "address_2": "APT.11K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253611",
            "telephone_number": "212-496-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVERSIDE DR",
            "address_2": "SUITE 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232504",
            "telephone_number": "212-496-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAW",
        "first_name": "SUSAN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "ED.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "4559",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4559",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "4559",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WARSHAW",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.