Susan L. Beebe, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS003992L Issued in PA

Legal business name

SUSAN L. BEEBE, PH.D.

Practice address

93 Old York Rd
Suite 217
Jenkintown, PA 19046-3925

Phone

(215) 885-8774

Fax

(215) 322-6067

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Teresa Johnson

Title

Office Manager

Phone

(215) 322-4720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Lynn Beebe, PH.D

  • Clinical Psychologist
  • Jenkintown, PA
  • NPI 1790880680
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104921006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OLD YORK RD",
            "address_2": "SUITE 217",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463925",
            "telephone_number": "215-885-8774",
            "fax_number": "215-322-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 OLD YORK RD",
            "address_2": "SUITE 217",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463925",
            "telephone_number": "215-885-8774",
            "fax_number": "215-322-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. BEEBE, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-322-4720"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003992L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.