DR. SUSAN ELISABETH PALMGREN PH.D.
NPI 1912063785
Psychologist in New York, NY

Active since December 28, 2006PECOS Enrolled
1090 AMSTERDAM AVE, NEW YORK, NY 10025(212) 523-5134(212) 523-4069 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Susan Elisabeth Palmgren Ph.d. NPPES

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

DR. SUSAN ELISABETH PALMGREN PH.D. (NPI 1912063785) is an individual psychologist in New York, New York, licensed in New York (017203-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1912063785
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN ELISABETH PALMGRENCredential: PH.D.
Location Address1090 AMSTERDAM AVENew York, NY 10025-1737
Mailing Address1090 Amsterdam AveNew York, NY 10025-1737 · (212) 523-5134 · Fax (212) 523-4069
Fax(212) 523-4069
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 21, 2014
✔ NPI 1912063785 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 · 017203-1
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.
1090 AMSTERDAM AVE, New York, NY 10025

Other Names 1

Former Name (1)Mrs. Susan Elisabeth Packard

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Elisabeth Palmgren Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42364127
PECOS Enrollment IDI20200424002522
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Palmgren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
Psychologist
1 UNION ST STE 402
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
1090 AMSTERDAM AVE, SUITE 17 NORTH 13
NEW YORK, NY 10025
Orthopaedic Surgery
1090 AMSTERDAM AVE, SUITE 6E
NEW YORK, NY 10025
Pediatrics
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychologist (Clinical)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychologist (Clinical)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Internal Medicine (Gastroenterology)
1090 AMSTERDAM AVE, 8B
NEW YORK, NY 10025
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1090 AMSTERDAM AVE, SUITE 8B
NEW YORK, NY 10025

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 Palmgren's NPI number?

The NPI number for Susan Palmgren is 1912063785. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Mrs. Susan Elisabeth Packard.

Where is Susan Palmgren located?

Susan Palmgren practices at 1090 Amsterdam Ave, New York, NY 10025. The listed phone number is (212) 523-5134.

What is Susan Palmgren's specialty?

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

Is Susan Palmgren enrolled in Medicare?

Yes. Susan Palmgren is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Palmgren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Palmgren reassigns Medicare benefits to 2 organizations: Harlem Medical Associates PC (New York, NY) and Bayside Psychology And Consulting, LLC (Portland, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Palmgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Palmgren accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Susan Palmgren 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 Susan Palmgren was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.