Active NPI
Susan L Needham, PHD
- Clinical Psychologist
- Wilmington, DE
National Provider Identifier
1093910853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- B10000403
- Practice address
- 212 McDaniel Ave
Wilmington, DE 19803-2532 - Phone
- (302) 478-2999
- NPI assigned
- Jun 20, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | B10000403 | DE | Primary |
Addresses
Primary practice location
212 McDaniel Ave
Wilmington, DE 19803-2532
Mailing address
212 McDaniel Ave
Wilmington, DE 19803-2532
Phone (302) 478-2999
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 |
|---|---|---|---|
| B10000403 | DE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1093910853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 MCDANIEL AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032532",
"telephone_number": "302-478-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 MCDANIEL AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032532",
"telephone_number": "302-478-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEDHAM",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B10000403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.