SUSAN M. SHIMMERLIK PH.D.
NPI 1396953410
Psychologist in New York, NY

Active since May 21, 2007Opted out of Medicare · through Aug 3, 2028
27 W 86TH ST, NEW YORK, NY 10024(212) 877-3857 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Susan M. Shimmerlik Ph.d. NPPES

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

SUSAN M. SHIMMERLIK PH.D. (NPI 1396953410) is an individual psychologist in New York, New York, licensed in New York (005138-1) and active in the NPI registry since May 2007. She has opted out of Medicare through August 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396953410
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSUSAN M. SHIMMERLIKCredential: PH.D.
Location Address27 W 86TH STNew York, NY 10024-3615
Mailing Address27 W 86th StNew York, NY 10024-3615
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396953410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 005138-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
27 W 86TH ST, New York, NY 10024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Susan M. Shimmerlik Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 3, 2012 through August 3, 2028.

Opt-Out Effective DateAugust 3, 2012
Opt-Out In Effect ThroughAugust 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Physician Nutrition Specialist)
27 W 86TH ST
NEW YORK, NY 10024
Psychologist (Clinical)
27 W 86TH ST, 1A
NEW YORK, NY 10024
Psychologist (Clinical)
27 W 86TH ST, SUITE C
NEW YORK, NY 10024
Psychologist
27 W 86TH ST
NEW YORK, NY 10024
Psychiatry & Neurology (Psychiatry)
27 W 86TH ST, APT 1C
NEW YORK, NY 10024
Social Worker (Clinical)
27 W 86TH ST
NEW YORK, NY 10024
Social Worker (Clinical)
27 W 86TH ST, SUITE 1D
NEW YORK, NY 10024
Psychiatry & Neurology (Psychiatry)
27 W 86TH ST, SUITE 1C
NEW YORK, NY 10024

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 Shimmerlik's NPI number?

The NPI number for Susan Shimmerlik is 1396953410. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Susan Shimmerlik located?

Susan Shimmerlik practices at 27 W 86th St, New York, NY 10024. The listed phone number is (212) 877-3857.

What is Susan Shimmerlik's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Shimmerlik enrolled in Medicare?

No. Susan Shimmerlik has opted out of Medicare through August 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Shimmerlik was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.