Active NPI
Susan Rahman, PH.D.
- Psychologist
- Tacoma, WA
National Provider Identifier
1073573275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00002271
- Practice address
- 9601 Steilacoom Blvd SW
Tacoma, WA 98498-7212 - Phone
- (253) 984-4126
- Fax
- (253) 756-3954
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00002271 | WA | Primary |
Addresses
Primary practice location
9601 Steilacoom Blvd SW
Tacoma, WA 98498-7212
Mailing address
9601 Steilacoom Blvd S.W.
Western State Hospital
Tacoma, WA 98498-7213
Phone (253) 984-4126
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002271 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1073573275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD S.W.",
"address_2": "WESTERN STATE HOSPITAL",
"city": "TACOMA",
"state": "WA",
"postal_code": "984987213",
"telephone_number": "253-984-4126",
"fax_number": "253-756-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984987212",
"telephone_number": "253-984-4126",
"fax_number": "253-756-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00002271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.