Individual provider Active NPI

Susan List, M.D.

  • Psychiatry Physician
  • Vero Beach, FL
National Provider Identifier
1003323429
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME69897 Issued in FL
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

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 28 clinicians

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

OrganizationSpecialtyStatusNew patients
Whole Family Health Center, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Whole Family Health Center, Inc. CurrentSince Dec 5, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/14627/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.