Individual provider Active NPI

Susan Lynn Van Ost, PH.D.

  • Psychologist
  • Silver Spring, MD
National Provider Identifier
1104128040
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1111 Issued in MD
Practice address
1007 Broadmore Cir
Silver Spring, MD 20904-3108
Phone
(301) 466-8634
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1111 MD Primary

Addresses

Primary practice location

1007 Broadmore Cir
Silver Spring, MD 20904-3108

Mailing address

1007 Broadmore Cir
Silver Spring, MD 20904-3108
Phone (301) 466-8634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1111MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Psychological Services Psychologist PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1104128040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROADMORE CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043108",
            "telephone_number": "301-466-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 BROADMORE CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043108",
            "telephone_number": "301-466-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OST",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.