Active NPI
Eric Sudler Jr., PSY.D
- School Psychologist
- Milford, DE
National Provider Identifier
1063833143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 96063
- Practice address
- 1021 N Walnut St
Milford, DE 19963-1201 - Phone
- (302) 430-7900
- Fax
- (302) 424-4163
- NPI assigned
- Dec 17, 2013
- Last updated
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 96063 | DE | Primary |
Addresses
Primary practice location
1021 N Walnut St
Milford, DE 19963-1201
Mailing address
145 Tywyn Dr
Middletown, DE 19709-8741
Phone (302) 383-0662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96063 | DE | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1063833143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 TYWYN DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197098741",
"telephone_number": "302-383-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N WALNUT ST",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631201",
"telephone_number": "302-430-7900",
"fax_number": "302-424-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDLER",
"first_name": "ERIC",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-17",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DE",
"license": "96063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.