Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anisa Sugantal Suparmanian

Individual provider Psychiatry Physician · NPI 1275190514

Anisa Sugantal Suparmanian is a Psychiatry in Scranton, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Comprehensive Psychiatric Services a Medical Group, a 73-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Pennsylvania.

Years since qualifying
19
Licensed in
CA, PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

111 N Washington Ave
Scranton, PA 18503-1828
Phone: (570) 343-2383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hillmont Ave, Ventura, CA 93003-1647 — (805) 652-6729

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A187217 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MT217917 (PA)

Record details

NPI number1275190514
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2019
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Comprehensive Psychiatric Services A Medical Group — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Scranton