Individual provider Active NPI

Susan Lynn Weltner-Brunton, PH.D.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1043446388
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4384 Issued in OH
Practice address
921 Chatham LN
Suite 112
Columbus, OH 43221-2418
Phone
(614) 754-7648
Fax
(614) 754-7698
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4384 OH Primary

Addresses

Primary practice location

921 Chatham LN
Suite 112
Columbus, OH 43221-2418

Mailing address

921 Chatham LN
Suite 112
Columbus, OH 43221-2418
Phone (614) 754-7648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ohio State University College of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

921 Chatham LN
Suite 112
Columbus, OH 43221-2414

921 Chatham LN
Suite 112
Columbus, OH 43221-2418
Phone (614) 754-7648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4384OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Weltner-Brunton, PH.D., Inc. Past Accepting new patients

Organizations & group practices 1

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1043446388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CHATHAM LN",
            "address_2": "SUITE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212418",
            "telephone_number": "614-754-7648",
            "fax_number": "614-754-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHATHAM LN",
            "address_2": "SUITE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212418",
            "telephone_number": "614-754-7648",
            "fax_number": "614-754-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTNER-BRUNTON",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.