Individual Healthcare Provider
Susan Sloan Jacoby, APRN
Provider's NPPES record last updated: October 18, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1124050273
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Purchase, New York
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:04 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Provider-Reported License Information
- Nurse Practitioner (New York)
- 402856
- Nurse Practitioner (Connecticut)
- 003284
Practice Locations
Practice Location
3030 Westchester Ave
Purchase, New York 10577
Phone: (914) 848-8030
Additional Practice Location
24 Stevens St
Norwalk, Connecticut 06850-3852
Phone: (203) 852-2000
Fax: (203) 852-2945
Additional Practice Location
171 Huguenot St
New Rochelle, New York 10801-7760
Phone: (914) 848-8030
Fax: (914) 848-8031
Additional Practice Location
1 Theall Rd
Rye, New York 10580-1404
Phone: (914) 848-8030
Fax: (914) 848-8031
Additional Practice Location
73 Market St
Yonkers, New York 10710-7616
Phone: (914) 848-8030
Fax: (914) 848-8031
Additional Practice Location
210 Westchester Ave
White Plains, New York 10604-2901
Phone: (914) 848-8030
Fax: (914) 848-8031
Additional Practice Location
1084 N Broadway
Yonkers, New York 10701-1107
Phone: (914) 848-8030
Fax: (914) 848-8031
Record Information
- Enumeration Date
- July 7, 2006
- Provider's NPPES Record Last Updated
- October 18, 2019
- NPISignal NPPES Dataset
- August 2026
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