Susan McCarty McCormick, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001348 Issued in VA

Practice address

24600 Millstream Dr
Suite 340
Stone Ridge, VA 20105-5685

Phone

(703) 327-0335

Fax

(703) 327-0225

NPI assigned

Sep 8, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24509/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1073060984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR",
            "address_2": "SUITE 340",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201055685",
            "telephone_number": "703-327-0335",
            "fax_number": "703-327-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR",
            "address_2": "SUITE 340",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201055685",
            "telephone_number": "703-327-0335",
            "fax_number": "703-327-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SUSAN",
        "middle_name": "MCCARTY",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Kim
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• Gayatri Sneh Mantha, PSYD
• Jennifer M McCormick, OTR
• Med Urgent Care LLC
• Susanna Kay Meyer, PHARMD
• Chris Moon, PT
• Myeyedr Optometry of Virginia, PLLC
• Jennifer Karen Rohn, MA LMFT

• Marriage & Family Therapist in Stone Ridge, VA
• Providers in Stone Ridge, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.