DR. LISA MICHELLE SUSSMAN (NPI# 1679686786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679686786 |
| Entity Type | Individual |
| Full Name | DR. LISA MICHELLE SUSSMAN |
| Credential | PSY.D. |
| Practice Address |
27 S Cooks Bridge Rd Suite 2-3 Jackson NJ 08527-2524 |
| Practice Telephone | 7329947855 |
| Practice Fax Number | 7322426688 |
| Mailing Telephone | 7329947855 |
| Mailing Fax Number | 7322426688 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35S100423600 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093063174 | Lisa Sussman | Counselor | 314 10th St, West Palm Beach, FL 33401-3318 | 2012-08-21 |
| Street Address |
27 S COOKS BRIDGE RD SUITE 2-3 |
| City | JACKSON |
| State | NJ |
| Zip Code | 08527-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871582304 | Scott J Druckman | Family Medicine | 27 S Cooks Bridge Rd, Suite 2-1, Jackson, NJ 08527-2524 | 2005-10-18 |
| 1326574336 | New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | 27 S Cooks Bridge Rd, Suite 2-10, Jackson, NJ 08527-2524 | 2017-05-11 |
| 1063955094 | Karen A Yeboah-norment | Nurse Practitioner | 27 S Cooks Bridge Rd, Jackson, NJ 08527 | 2016-11-22 |
| 1306389689 | Lauren Michelle Pellicane | Nurse Practitioner | 27 S Cooks Bridge Rd, Suite 2-1, Jackson, NJ 08527-2524 | 2016-11-18 |
| 1689054298 | Lauren H Parkes | Family Medicine | 27 S Cooks Bridge Rd, Jackson, NJ 08527 | 2015-06-09 |
| 1699163527 | Jackson Village Imaging, LLC | Radiology | 27 S Cooks Bridge Rd, Jackson, NJ 08527-2524 | 2014-12-30 |
| 1275930216 | Jackson Surgical Center LLC | Clinic/Center | 27 S Cooks Bridge Rd, Suite L2, Jackson, NJ 08527-2524 | 2014-11-19 |
| 1679976435 | Jersey Shore Monmouth Family Medicine Group PC | Non-Pharmacy Dispensing Site | 27 S Cooks Bridge Rd, Suite 27, Jackson, NJ 08527-2524 | 2014-10-07 |
| 1427476415 | Maren Stockhoff | Audiologist-Hearing Aid Fitter | 27 S Cooks Bridge Rd, Jackson, NJ 08527-2524 | 2014-04-07 |
| 1568894244 | Susan Michelle Beltran | Clinical Nurse Specialist | 27 S Cooks Bridge Rd, Jackson, NJ 08527-2524 | 2013-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
| 1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
| 1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
| 1912362815 | Executive Home Healthcare | Home Health | 17 N Hope Chapel Rd, Jackson, NJ 08527 | 2015-12-18 |
| 1629455274 | Rachel Solny | Speech-Language Pathologist | 70 Villanova Dr, Jackson, NJ 08527 | 2015-05-04 |
| 1235525486 | Encore Dental of Jackson | Dentist | 2275 West County Line Rd., Jackson, NJ 08527 | 2015-04-14 |
| 1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| Find all providers in zip 08527 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
| 1972834604 | Sue C Radtke | Psychologist | 4476 Bittersweet Ct, Jackson, WI 53037-9754 | 2010-01-20 |
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.