Active NPI
Susan List, M.D.
- Psychiatry Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME69897
- Practice address
- 3723 10TH CT
Vero Beach, FL 32960-6559 - Phone
- (772) 492-3427
- Fax
- (772) 925-8194
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME69897 | FL | Primary |
Addresses
Primary practice location
3723 10TH CT
Vero Beach, FL 32960-6559
Mailing address
827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8200
Other practice location 1
725 N US Highway 1
Fort Pierce, FL 34950-9125
Phone (772) 252-4014
Other practice location 2
981 37th Pl
Vero Beach, FL 32960-6541
Phone (772) 492-3427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231207004012 | FL | Practitioner - Psychiatry | 2860841491 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Toledo College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Whole Family Health Center Inc
Practice addresses (Care Compare)
725 N US Hwy 1
Fort Pierce, FL 34950-9125
Phone (772) 468-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Family Health Center, Inc. | Current | Accepting new patients | |
| Whole Family Health Center, Inc. | Current | Accepting new patients | |
| Geo Care, Inc. | Past | Accepting new patients | |
| Whole Family Health Center, Inc. | Past | Accepting new patients |
Locations
725 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 468-9900
827 18th St
Vero Beach, FL 32960
Phone (772) 925-8190
3723 10th Ct
Vero Beach, FL 32960
Phone (772) 492-3427
981 37th Pl
Vero Beach, FL 32960
Phone (772) 257-5785
Interoperability endpoints
- https://api.platform.athenahealth.com/14627/brand/1/csg/1/fhir/r4
- susan.list.1@14627.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Fort Pierce, FL
- NPI 1578612883
FL
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1265319271
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1437910080
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1255007100
-
- Pharmacy
- Vero Beach, FL
- NPI 1750756185
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1750860938
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1841979846
-
- Psychiatric Hospital
- Indiantown, FL
- NPI 1750666053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1003323429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 18TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606481",
"telephone_number": "772-925-8200",
"fax_number": "772-925-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 10TH CT",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606559",
"telephone_number": "772-492-3427",
"fax_number": "772-925-8194"
}
],
"practiceLocations": [
{
"address_1": "725 N US Highway 1",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349509125",
"country_code": "US",
"telephone_number": "772-252-4014",
"fax_number": "772-999-5577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "981 37th Pl",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329606541",
"country_code": "US",
"telephone_number": "772-492-3427",
"fax_number": "772-999-5577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIST",
"first_name": "SUSAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME69897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.