Dr Susan Ginsberg Petak, PHD - Psychologist in Tenafly, NJ

Dr Susan Ginsberg Petak, PHD is a Psychologist - Clinical based in Tenafly, New Jersey. Dr Susan Ginsberg Petak is licensed to practice in New York (license number 68 021572) and her current practice location is 124 Churchill Rd, Tenafly, New Jersey. She can be reached at her office (for appointments etc.) via phone at (646) 418-4592.

NPI number for Dr Susan Ginsberg Petak is 1184088270 and her current mailing address is 124 Churchill Rd, Tenafly, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184088270.

Contact Information

Dr Susan Ginsberg Petak, PHD
124 Churchill Rd,
Tenafly, NJ 07670-3120
(646) 418-4592
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Susan Ginsberg Petak
GenderFemale
SpecialityPsychologist - Clinical
Location124 Churchill Rd, Tenafly, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184088270
  • Provider Enumeration Date: 04/05/2016
  • Last Update Date: 04/05/2016

Medical Identifiers

Medical identifiers for Dr Susan Ginsberg Petak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184088270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 68 021572 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Ginsberg Petak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Susan Ginsberg Petak, PHD
124 Churchill Rd,
Tenafly, NJ 07670-3120

Ph: (646) 418-4592
Dr Susan Ginsberg Petak, PHD
124 Churchill Rd,
Tenafly, NJ 07670-3120

Ph: (646) 418-4592

Reviews and Comments


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