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

Individual provider Clinical Psychologist · NPI 1841571312

Dr. Susan Merle Tyburczy, PHD is a Clinical Psychologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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

152 Ross Ave
Staten Island, NY 10306-2952
Phone: (917) 535-3177
Fax: (718) 667-4350
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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 P75118 (NY)

Record details

NPI number1841571312
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 29, 2011
Last updated in NPPESAugust 29, 2011

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