Rebecca Auguste Suffness, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38044 Issued in TX

Practice address

205 Wild Basin Rd S #3
Suite 202
Austin, TX 78746

Phone

(512) 246-7225

Fax

(512) 879-9577

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 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

Practice roles

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.

• Ad/HD Clinic at University of North Carolina Greensboro

  • Clinical Psychologist
  • Greensboro, NC
  • NPI 1144528480
  NPD (past)
• Uncg Psychology Clinic

  • Psychologist
  • Greensboro, NC
  • NPI 1023187473

  Clinical

  NPD (past)

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1134552979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN RD S #3",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-246-7225",
            "fax_number": "512-879-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN RD S #3",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-246-7225",
            "fax_number": "512-879-9577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Market St",
            "address_2": "UNCG Psychology Clinic, 3rd floor",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031830",
            "country_code": "US",
            "telephone_number": "336-224-5662",
            "fax_number": "336-334-5754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUFFNESS",
        "first_name": "REBECCA",
        "middle_name": "AUGUSTE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4830",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.austinanxiety.com/",
            "affiliation": "N",
            "address_1": "205 Wild Basin Rd S #3",
            "address_2": "Suite 202",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John G. Sudduth, LPC
• Jared Dewayne Sudekum
• Sarita Sudermann, RD
• Connie Suen, PHARMD
• Cressida Suess, PH.D.
• Paige L. Suffredini, MD
• Jason Sugg
• David Corbin Suggs, DC
• Sunaina Suhag, M.D.
• Suitable Solutions Therapy, PLLC

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.