SUSAN J MENDELSOHN PA
NPI 1376016501
Psychologist - Clinical in Fort Lauderdale, FL

Q: What is Susan J Mendelsohn PA's NPI number?

The NPI number for Susan J Mendelsohn PA is 1376016501. It was assigned to this organization in the NPPES registry on January 10, 2019.

Q: What is Susan J Mendelsohn PA's specialty?

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

Active since January 10, 2019

1919 NE 45TH ST STE 218, FORT LAUDERDALE, FL 33308(954) 294-7036(954) 652-1483 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2023, Jan 10, 2019 (2 updates tracked since 2019).

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About Susan J Mendelsohn Pa NPPES

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

SUSAN J MENDELSOHN PA (NPI 1376016501) is a healthcare organization registered as a clinical in Fort Lauderdale, Florida and active in the NPI registry since January 2019. The organization lists Susan J Mendelsohn, President, as its authorized official.

NPPES Registry Identity

NPI1376016501

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSUSAN J MENDELSOHN PA

Location Address1919 NE 45TH ST STE 218Fort Lauderdale, FL 33308-5136

Mailing Address204 Washington AvenueLauderdale By The Sea, FL 33308-3622 · (954) 294-7036 · Fax (954) 652-1483

Phone(954) 294-7036

Fax(954) 652-1483

Organization SubpartNo

Authorized OfficialSusan J MendelsohnPresident · (954) 294-7036

Enumeration DateJanuary 10, 2019

Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1376016501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1919 NE 45TH ST STE 218, Fort Lauderdale, FL 33308

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan J Mendelsohn Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Susan J Mendelsohn PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Mendelsohn, PSYD

Clinical Psychologist

NPI 1669531596

1919 NE 45TH ST STE 218
Fort Lauderdale, FL 33308

(954) 294-7036

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 J Mendelsohn PA's NPI number?

The NPI number for Susan J Mendelsohn PA is 1376016501. It was assigned to this organization in the NPPES registry on January 10, 2019.

Where is Susan J Mendelsohn PA located?

Susan J Mendelsohn PA is located at 1919 NE 45th St Ste 218, Fort Lauderdale, FL 33308. The listed phone number is (954) 294-7036.

What is Susan J Mendelsohn PA's specialty?

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

Is Susan J Mendelsohn PA enrolled in Medicare?

Yes. Susan J Mendelsohn PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susan J Mendelsohn PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Susan J Mendelsohn PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Susan J Mendelsohn PA was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.