Active NPIIndividual provider

Susie Tushingham, PMHNP

Nurse Practitioner, Psych/Mental Health in Wyckoff, New Jersey

NPI Number1871211961
Practice location
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Fax
—
Last updated
November 7, 2024

Susie Tushingham is a Nurse Practitioner, Psych/Mental Health based in Wyckoff, NJ. Susie Tushingham practices in Wyckoff, NJ and has the professional credentials of PMHNP. The NPI Number for Susie Tushingham is 1871211961 and holds a License No. 26NJ15165300 (NJ). The current practice location address for Susie Tushingham is 301 Sicomac Ave, Wyckoff, NJ 07481-2159 and can be reached out via phone at 201-848-5781.

Provider Profile Details

NPI Number
1871211961
Provider Name
Susie Tushingham
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone Number
201-848-5781
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2022
Last Update Date
November 7, 2024
Certification Date
November 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Zip
07481-2159
Phone Number
201-848-5781
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
City
Wyckoff
State
NJ
Zip
07481-2159

License Information

License Number
26NJ15165300
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Susie Tushingham, PMHNP?

The NPI number of Susie Tushingham, PMHNP is 1871211961. It was assigned on August 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Susie Tushingham, PMHNP?

Susie Tushingham, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15165300.

Where does Susie Tushingham, PMHNP practice?

The practice location is 301 Sicomac Ave, Wyckoff, NJ 07481-2159. The office can be reached at 201-848-5781 (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 1871211961 directly on the NPPES registry website.

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