SIMON SUSSKIND LMHC
NPI 1285003681
Counselor - Mental Health in Far Rockaway, NY
Active since September 16, 2015
About Simon Susskind Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMON SUSSKIND LMHC (NPI 1285003681) is an individual mental health provider in Far Rockaway, New York, licensed in New York (009037-01) and active in the NPI registry since September 2015. He maintains a secondary practice location in Far Rockaway.
NPPES Registry Identity
NPI1285003681
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSIMON SUSSKINDCredential: LMHC
Location Address1132 BAY 24TH STFar Rockaway, NY 11691-1752
Mailing Address425 Kings HwyBrooklyn, NY 11223-1629 · (718) 787-1100
Phone(718) 813-5042
Sole ProprietorNo
Enumeration DateSeptember 16, 2015
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1285003681 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 009037-01
1132 BAY 24TH ST, Far Rockaway, NY 11691
Secondary Practice Location 1
Location 1257 Beach 17th StFar Rockaway, NY 11691-4433 · Phone (718) 813-5042
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285003681, enumerated as an "individual" on September 16, 2015.
The provider is located at 1132 BAY 24TH ST FAR ROCKAWAY, NY 11691 and the phone number is (718) 813-5042.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.