DR. SUSAN NISSEN PH.D.
NPI 1518015650
Psychologist - Clinical in Commack, NY

Q: What is Susan Nissen's NPI number?

The NPI number for Susan Nissen is 1518015650. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Susan Nissen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Nissen 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.

Active since January 08, 2007

25 WILTSHIRE DR, COMMACK, NY 11725(516) 521-4148 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Susan Nissen Ph.d. NPPES

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

DR. SUSAN NISSEN PH.D. (NPI 1518015650) is an individual clinical provider in Commack, New York, licensed in New York (010793-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1518015650

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSAN NISSENCredential: PH.D.

Location Address25 WILTSHIRE DRCommack, NY 11725-3330

Mailing Address25 Wiltshire DrCommack, NY 11725-3330 · (516) 521-4148

Phone(516) 521-4148

Sole ProprietorYes

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1518015650 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 · 010793-1

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.

25 WILTSHIRE DR, Commack, NY 11725

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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 Nissen's NPI number?

The NPI number for Susan Nissen is 1518015650. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Susan Nissen located?

Susan Nissen practices at 25 Wiltshire Dr, Commack, NY 11725. The listed phone number is (516) 521-4148.

What is Susan Nissen'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 Nissen 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.