Shirley Ann Davis-Susser, PSY.D
NPI 1134189459ActiveIndividual· Psychologist, Clinical· Poughkeepsie, NY
Opted out of Medicare from December 2022 to December 2026. Psychologist, Clinical (PSY.D) in Poughkeepsie, New York, licensed in NY, with an NPI issued in March 2006.
Overview
| NPI | 1134189459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D |
| Sole proprietor | No |
| NPI issued | Mar 23, 2006 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 010347-1 | NY |
| Psychologist | 103T00000X | 010347 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Dec 31, 2022 – Dec 31, 2026 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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