Active NPI
Suzanne Rachelle Plummer, PSY D
- Psychologist
- Cincinnati, OH
National Provider Identifier
1124181060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6509
- Practice address
- 3333 Burnet Avenue
ML 3015
Cincinnati, OH 45229-3039 - Phone
- (513) 636-4336
- Fax
- (513) 636-3677
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6509 | OH | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 2006034886 | MO | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1290 | KY |
Addresses
Primary practice location
3333 Burnet Avenue
ML 3015
Cincinnati, OH 45229-3039
Mailing address
3333 Burnet Avenue
ML 5021
Cincinnati, OH 45229-3039
Phone (513) 636-4225
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006034886 | MO | MD | Cognitive & Behavioral Psychologist |
| 6509 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1124181060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "ML 5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVENUE",
"address_2": "ML 3015",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4336",
"fax_number": "513-636-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "SUZANNE",
"middle_name": "RACHELLE",
"name_prefix": "Dr.",
"credential": "PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6509",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MO",
"license": "2006034886",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KY",
"license": "1290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.