Active NPI
Susan Plecha, M.A.
- School Psychologist
- Socorro, NM
National Provider Identifier
1063968402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 291923
- Practice address
- 700 Franklin St
Socorro, NM 87801-4666 - Phone
- (575) 835-0300
- NPI assigned
- Aug 26, 2016
- Last updated
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 291923 | NM | Primary |
Addresses
Primary practice location
700 Franklin St
Socorro, NM 87801-4666
Mailing address
2518 Luna Nuestra NW
Albuquerque, NM 87120-1342
Phone (505) 453-4085
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291923 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1063968402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 LUNA NUESTRA NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201342",
"telephone_number": "505-453-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FRANKLIN ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878014666",
"telephone_number": "575-835-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLECHA",
"first_name": "SUSAN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "291923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.