DR. SUSAN A ROSS PH.D.
NPI 1609840107
Psychologist - Clinical in Albany, NY

Active since February 14, 2006Opted out of Medicare · through May 7, 2027
1A PINE WEST PLZ, ALBANY, NY 12205(518) 862-1665(518) 862-1668 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan A Ross Ph.d. NPPES

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

DR. SUSAN A ROSS PH.D. (NPI 1609840107) is an individual clinical provider in Albany, New York, licensed in New York (008278) and active in the NPI registry since February 2006. She has opted out of Medicare through May 7, 2027.

NPPES Registry Identity

NPI1609840107
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN A ROSSCredential: PH.D.
Location Address1A PINE WEST PLZAlbany, NY 12205-5556
Mailing Address308 Highgate DrSlingerlands, NY 12159-9530 · (518) 869-7830 · Fax (518) 869-4265
Fax(518) 862-1668
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJune 25, 2008
NPI 1609840107 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 · 008278
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.
1A PINE WEST PLZ, Albany, NY 12205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Susan A Ross 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 May 7, 2021 through May 7, 2027.

Opt-Out Effective DateMay 7, 2021
Opt-Out In Effect ThroughMay 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Psychologist
1A PINE WEST PLZ, PINE BUSH MENTAL HEALTH
ALBANY, NY 12205
Psychologist (Clinical)
1A PINE WEST PLZ
ALBANY, NY 12205
Psychiatry & Neurology (Psychiatry)
1A PINE WEST PLZ
ALBANY, NY 12205
Psychologist (Clinical)
1A PINE WEST PLZ
ALBANY, NY 12205
Psychologist (Counseling)
1A PINE WEST PLZ
ALBANY, NY 12205
Psychologist
1A PINE WEST PLZ
ALBANY, NY 12205
Community/Behavioral Health
1A PINE WEST PLZ
ALBANY, NY 12205
Psychologist (Clinical)
1A PINE WEST PLZ, PINE BUSH MENTAL HEALTH, LLP
ALBANY, NY 12205

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 Ross's NPI number?

The NPI number for Susan Ross is 1609840107. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Susan Ross located?

Susan Ross practices at 1A Pine West Plz, Albany, NY 12205. The listed phone number is (518) 862-1665.

What is Susan Ross's specialty?

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

Is Susan Ross enrolled in Medicare?

No. Susan Ross has opted out of Medicare through May 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Ross was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.