Dr. Susan G Petak, PHD
Psychologist, Clinical in Tenafly, New Jersey
1184088270- Practice location
- 124 Churchill RD, Tenafly, NJ 07670-3120
- Phone
- 646-418-4592
- Fax
- —
- Last updated
- April 5, 2016
Susan Ginsberg Petak is a Psychologist, Clinical based in Tenafly, NJ. Susan Ginsberg Petak practices in Tenafly, NJ and has the professional credentials of PHD. The NPI Number for Susan Ginsberg Petak is 1184088270 and holds a License No. 68 021572 (NY). The current practice location address for Susan Ginsberg Petak is 124 Churchill RD, Tenafly, NJ 07670-3120 and can be reached out via phone at 646-418-4592.
Provider Profile Details
- NPI Number
- 1184088270
- Provider Name
- Susan Ginsberg Petak
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 124 Churchill RD, Tenafly, NJ 07670-3120
- Phone Number
- 646-418-4592
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2016
- Last Update Date
- April 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Churchill RD
Tenafly, NJ 07670-3120 - City
- Tenafly
- State
- New Jersey
- Zip
- 07670-3120
- Phone Number
- 646-418-4592
Provider Business Mailing Address Details
- Address
- 124 Churchill RD
Tenafly, NJ 07670-3120 - City
- Tenafly
- State
- NJ
- Zip
- 07670-3120
- Phone Number
- 646-418-4592
License Information
- License Number
- 68 021572
- License State
- NY
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Susan G Petak, PHD?
The NPI number of Dr. Susan G Petak, PHD is 1184088270. It was assigned on April 5, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Susan G Petak, PHD?
Dr. Susan G Petak, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 68 021572.
Where does Dr. Susan G Petak, PHD practice?
The practice location is 124 Churchill RD, Tenafly, NJ 07670-3120. The office can be reached at 646-418-4592 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184088270 directly on the NPPES registry website.