Provider Demographics
NPI:1710153549
Name:SUSAN M. PERKINS NP PSYCHIATRY COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:SUSAN M. PERKINS NP PSYCHIATRY COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:NP CASAC
Authorized Official - Phone:845-797-2318
Mailing Address - Street 1:2345 ROUTE 52
Mailing Address - Street 2:SUITE F
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3218
Mailing Address - Country:US
Mailing Address - Phone:845-797-2318
Mailing Address - Fax:888-972-5017
Practice Address - Street 1:2345 ROUTE 52
Practice Address - Street 2:SUITE F
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-3218
Practice Address - Country:US
Practice Address - Phone:845-797-2318
Practice Address - Fax:888-972-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400830-1364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty