David Ira Suchman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 2797 Issued in FL

Practice address

1212 NW 12TH Ave
Suite C-2
Gainesville, FL 32601-3032

Phone

(352) 338-1212

Fax

(352) 392-8452

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1104039601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NW 12TH AVE",
            "address_2": "SUITE C-2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014133",
            "telephone_number": "352-338-1212",
            "fax_number": "352-392-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 NW 12TH AVE",
            "address_2": "SUITE C-2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013032",
            "telephone_number": "352-338-1212",
            "fax_number": "352-392-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHMAN",
        "first_name": "DAVID",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 2797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "75210",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.