Susan R Holliday, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00000960 Issued in WA

Practice address

4026 NE 55TH St
Suite B
Seattle, WA 98105-2254

Phone

(206) 526-8711

Fax

(206) 523-6809

NPI assigned

Dec 1, 2006

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 Burchfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Michael O'. Weeks MD MSW PLLC

  • Adult Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1831611300
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1053489575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 NE SURBER DR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055406",
            "telephone_number": "206-499-3913",
            "fax_number": "206-523-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 NE 55TH ST",
            "address_2": "SUITE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052254",
            "telephone_number": "206-526-8711",
            "fax_number": "206-523-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "SUSAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BURCHFIELD",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Hollander, MA, MHP, CDP
• Amie Lynn Hollard, MD
• Julia Hollenberg, MS, RDN, CD, RYT
• Evan Holleran, MD
• Amy Susan Holley, PH.D.
• Tamara Reiko Holliday, D.D.S.
• Kayla Hollimon
• Aspen Brooke Hollingsworth
• Brian Hollingsworth, LMP
• Kimberly Hollins, CERTIFIED COUNSELOR

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.