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MR. KEVIN SUSTAD
NPI 1689254203
Counselor - Mental Health in Merrick, NY

Active since April 08, 2021PECOS Enrolled
2598 ORR ST, MERRICK, NY 11566(516) 941-7504 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 23, 2023, Apr 22, 2022, Apr 8, 2021 (3 updates tracked since 2021).

About Mr. Kevin Sustad NPPES

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

MR. KEVIN SUSTAD (NPI 1689254203) is an individual mental health provider in Merrick, New York, licensed in New York (011247) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689254203
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEVIN SUSTAD
Location Address2598 ORR STMerrick, NY 11566-4744
Mailing Address2598 Orr StMerrick, NY 11566-4744 · (516) 941-7504
Phone(516) 941-7504
Sole ProprietorNo
Enumeration DateApril 8, 2021
Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1689254203 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 · 011247
2598 ORR ST, Merrick, NY 11566
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Sustad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kevin Sustad's NPI number?

The NPI number for Kevin Sustad is 1689254203. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Kevin Sustad located?

Kevin Sustad practices at 2598 Orr St, Merrick, NY 11566. The listed phone number is (516) 941-7504.

What is Kevin Sustad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kevin Sustad enrolled in Medicare?

Yes. Kevin Sustad is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Sustad accept?

Health plans from Providence Health Plan list Kevin Sustad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Sustad was last updated on January 23, 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.