Active NPI
Susan E Jurish, PHD
- Clinical Psychologist
- Manalapan, NJ
National Provider Identifier
1982740072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00217300
- Practice address
- 225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3356 - Phone
- (732) 446-3993
- Fax
- (732) 446-6287
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00217300 | NJ | Primary |
Addresses
Primary practice location
225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3356
Mailing address
225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3356
Phone (732) 446-3993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220209000356 | NJ | Practitioner - Clinical Psychologist | 8921435884 | Practice locations: Manalapan, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3342
Phone (732) 446-3993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00217300 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1982740072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 GORDONS CORNER RD",
"address_2": "SUITE 2A",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263356",
"telephone_number": "732-446-3993",
"fax_number": "732-446-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 GORDONS CORNER RD",
"address_2": "SUITE 2A",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263356",
"telephone_number": "732-446-3993",
"fax_number": "732-446-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURISH",
"first_name": "SUSAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00217300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.