Susan Eick, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

081003103 Issued in VA

Practice address

3712 Old Forest Rd Ste 500
Lynchburg, VA 24501-6959

Phone

(434) 385-0744

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Perelman School of Med at the University of Pennsylvania, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Susan Eick PSYD Inc

  • Clinical Psychologist
  • Lynchburg, VA
  • NPI 1982367942
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1124119516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 SMOKY HOLLOW RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245044347",
            "telephone_number": "434-993-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 OLD FOREST RD STE 500",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016959",
            "telephone_number": "434-385-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICK",
        "first_name": "SUSAN",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "081003103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P60607",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945441",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "386224",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olufolake Egbujo, M.D
• Josh Egloff, PT, DPT
• Aline Carine Mounto Ehade
• Asad G. Ehtesham, M.D.
• Chelsea Marie Eichelberger, LCSW
• Emmanuel Ukwuoma Ekeke
• Daniel Edobor Ekoh, DMD
• Tararnce Derail Elam
• Heather Clements Elder, FNP-C
• Jerry Curtis Elder, OPTICIAN PRESIDENT O

• Clinical Psychologist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.