DR. SUSAN GINSBERG PETAK PHD
NPI 1184088270
Psychologist - Clinical in Tenafly, NJ

Active since April 05, 2016
124 CHURCHILL RD, TENAFLY, NJ 07670(646) 418-4592 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan Ginsberg Petak Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN GINSBERG PETAK PHD (NPI 1184088270) is an individual clinical provider in Tenafly, New Jersey, licensed in New York (68 021572) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1184088270
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN GINSBERG PETAKCredential: PHD
Location Address124 CHURCHILL RDTenafly, NJ 07670-3120
Mailing Address124 Churchill RdTenafly, NJ 07670-3120 · (646) 418-4592
Sole ProprietorYes
Enumeration DateApril 5, 2016
NPI 1184088270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 68 021572
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

124 CHURCHILL RD, Tenafly, NJ 07670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Petak's NPI number?

The NPI number for Susan Petak is 1184088270. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Susan Petak located?

Susan Petak practices at 124 Churchill Rd, Tenafly, NJ 07670. The listed phone number is (646) 418-4592.

What is Susan Petak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Susan Petak was last updated on April 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.