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DR. SUSAN MERLE TYBURCZY PH.D.
NPI 1841571312
Psychologist - Clinical in Staten Island, NY

Active since August 29, 2011
152 ROSS AVE, STATEN ISLAND, NY 10306(917) 535-3177(718) 667-4350 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Merle Tyburczy Ph.d. NPPES

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

DR. SUSAN MERLE TYBURCZY PH.D. (NPI 1841571312) is an individual clinical provider in Staten Island, New York, licensed in New York (P75118) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1841571312
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN MERLE TYBURCZYCredential: PH.D.
Location Address152 ROSS AVEStaten Island, NY 10306-2952
Mailing Address152 Ross AveStaten Island, NY 10306-2952 · (917) 535-3177 · Fax (718) 667-4350
Phone(917) 535-3177
Fax(718) 667-4350
Sole ProprietorYes
Enumeration DateAugust 29, 2011
✔ NPI 1841571312 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 · P75118
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.
152 ROSS AVE, Staten Island, NY 10306
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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 Tyburczy's NPI number?

The NPI number for Susan Tyburczy is 1841571312. It was assigned to this individual provider in the NPPES registry on August 29, 2011.

Where is Susan Tyburczy located?

Susan Tyburczy practices at 152 Ross Ave, Staten Island, NY 10306. The listed phone number is (917) 535-3177.

What is Susan Tyburczy'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 Tyburczy was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.