Provider Demographics
NPI:1306411194
Name:SUSAN HALSEY, PSYD, PLLC
Entity Type:Organization
Organization Name:SUSAN HALSEY, PSYD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALSEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-621-8989
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560-0151
Mailing Address - Country:US
Mailing Address - Phone:914-621-8989
Mailing Address - Fax:
Practice Address - Street 1:9 LONG POND RD
Practice Address - Street 2:
Practice Address - City:WACCABUC
Practice Address - State:NY
Practice Address - Zip Code:10597-1014
Practice Address - Country:US
Practice Address - Phone:914-621-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)