Susan Craft Astary, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY12599 Issued in FL

Practice address

1538 The Greens Way Ste 101
Jacksonville Beach, FL 32250-1400

Phone

(904) 543-0161

NPI assigned

Jan 30, 2016

Last updated

May 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Alexandria Craft Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marsh Landing Behavioral Group Inc

  • Child & Adolescent Psychiatry Physician
  • Jacksonville Beach, FL
  • NPI 1124143490
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1033577465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BOX CAMP DR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592366",
            "telephone_number": "859-380-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 THE GREENS WAY STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501400",
            "telephone_number": "904-543-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTARY",
        "first_name": "SUSAN",
        "middle_name": "CRAFT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-30",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CRAFT",
            "middle_name": "ALEXANDRIA",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Alexis Aulisio, NP-C

• Psychologist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.