Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Susan Ginsberg Petak, PHD

Individual provider Clinical Psychologist · NPI 1184088270

Dr. Susan Ginsberg Petak, PHD is a Clinical Psychologist in Tenafly, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

124 Churchill Rd
Tenafly, NJ 07670-3120
Phone: (646) 418-4592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 68 021572 (NY)

Record details

NPI number1184088270
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 5, 2016
Last updated in NPPESApril 5, 2016

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