Individual provider Active NPI

Sussett B Cain-Lewis

  • Psychiatric/Mental Health Nurse Practitioner
  • Willow Grove, PA
National Provider Identifier
1003790197
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SPO33041 Issued in PA
Practice address
409 Easton Rd
Willow Grove, PA 19090-2529
Phone
(267) 915-0261
NPI assigned
Aug 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X SPO33041 PA Primary

Addresses

Primary practice location

409 Easton Rd
Willow Grove, PA 19090-2529

Mailing address

7904 Rodgers Rd
Elkins Park, PA 19027-1219
Phone (215) 514-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023004964 PA Practitioner - Nurse Practitioner 0840788451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychtitude NP LLCGroup PAC ID 8628428232, 2 clinicians

Practice addresses (Care Compare)

409 Easton Rd
Suite 101
Willow Grove, PA 19090-2529
Phone (267) 915-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SPO33041PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychtitude NP LLC Single Specialty CurrentSince Jul 31, 2025 Accepting new patients
Behavioral Solutions Medical, PC Single Specialty PastSince Jul 1, 2023 Accepting new patients

Locations

409 Easton Rd
Ste 101
Willow Grove, PA 19090
Phone (267) 915-0261

2325 Maryland Rd
Ste 140
Willow Grove, PA 19090
Phone (215) 957-9250

Organizations & group practices 2

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": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1003790197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 RODGERS RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271219",
            "telephone_number": "215-514-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902529",
            "telephone_number": "267-915-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN-LEWIS",
        "first_name": "SUSSETT",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SPO33041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.