What is Susan Petak's NPI number?

Susan Petak's National Provider Identifier (NPI) is 1184088270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Susan Petak's specialty?

Susan Petak is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Susan Petak located?

Susan Petak's practice location on file with NPPES is 124 Churchill Rd, Tenafly, NJ 07670-3120.

What is Susan Petak's phone number?

The practice phone number listed in the NPPES registry for Susan Petak is (646) 418-4592.

Is Susan Petak's NPI active?

Yes — Susan Petak's NPI (1184088270) is active in the NPPES registry as of the last update on 2016-04-05.

IndividualActive

Susan Petak, PHD

NPI 1184088270 · Clinical Psychologist · Tenafly, NJ

Susan Petak, PHD is a Clinical Psychologist provider in Tenafly, NJ (NPI 1184088270).

Provider details

NPI number: 1184088270
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PHD
Sex: Female
Sole proprietor: Yes
License: 68 021572 (NY)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 68 021572 (NY)
Behavioral Health & Social Service Providers

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

124 Churchill Rd

Tenafly, NJ 07670-3120

Phone: (646) 418-4592

Street-level locationGet directions

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Mailing address